JUP Denials Specialist

Thomas Jefferson University • Philadelphia, PA

6d • Onsite

About The Position

The JUP Denials Specialist is responsible for billing and coding procedures and services for Jefferson Health, supporting reporting needs, and performing other duties assigned by the Director of Practice Operations. The role includes reviewing and coding inpatient charges for submission to Physician Billing Services (PBS), managing daily billing and cash-related tasks, and helping improve billing processes and reduce billing lag times. The position also involves working with patients on outstanding balances, coordinating with insurance carriers and the Compliance office, and responding to compliance and CMS chart requests.

The specialist is expected to demonstrate Jefferson’s core values of excellence and innovation, integrity and respect, teamwork, and communication. Responsibilities and the proportion of time spent on them may vary by department and location and may change based on management discretion and organizational needs.

This regular employee position is based at 1100 Chestnut Street in Philadelphia, Pennsylvania, and is listed as a Workday Day shift. Jefferson describes itself as a large health and higher-education organization serving the greater Philadelphia region, Lehigh Valley, Northeastern Pennsylvania, and southern New Jersey.

Requirements

• High school diploma or GED.
• Commitment to applicable policies and procedures and to reporting errors or events involving actual or potential harm.

Nice To Haves

• Five years of experience in medical billing.

Responsibilities

• Review and code inpatient charges for submission to Physician Billing Services (PBS).
• Reconcile daily cash and oversee bank deposits as needed.
• Review and sign batches before submitting them to PBS.
• Work the Vericlaim Info X Error Report daily.
• Assist the Director with bank deposit reports as needed.
• Assist with weekly and monthly Practice Work file Rejection Reports, including calling carriers to question rejections and completing charge corrections as necessary.
• Assist the Director with developing and implementing procedures to streamline the billing process and improve efficiency.
• Assist the Director in reducing billing lag times for the department.
• Assist the Director with the monthly Collection Report.
• Review charges to ensure patient responsibility.
• Work with the Compliance office as needed.
• Copy charts for compliance, CMS, and other requests.
• Work with patients to collect outstanding balances.
• Know policies and procedures applicable to assigned duties and emergency events.
• Report errors or events involving actual or potential harm.
• Demonstrate commitment to Jefferson’s core values of excellence and innovation, integrity and respect, teamwork, and communication.

Benefits

• Medical insurance, including prescription coverage.
• Supplemental insurance.
• Dental insurance.
• Vision insurance.
• Life and AD&D insurance.
• Short- and long-term disability coverage.
• Flexible spending accounts.
• Retirement plans.
• Tuition assistance.
• Voluntary benefits that provide access to group insurance rates and discounts.
• Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service.
• Medical insurance, including prescription coverage, is available to all colleagues, including those working less than part-time.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED