Primary Responsibilities

Ensure the timely and accurate completion of home infusion insurance billing, resubmits and cash collection through effective patient, referral and carrier interface. Assist customer service representative (CSR) with qualifying new orders. Resolve disputes in billings and when needed, initiate the collection process through telephone contact, letters, ect.

Essential Functions

Verify the accuracy of billing information received from CSR’s and assist in obtaining additional information required before claims processing. Interface with payers, patients, family and healthcare professionals to obtain claim preparation information. Post payments and identify credits and write offs. Process credits and write-offs with Manager’s approval. Review payment denials and claim rejections, research and resubmit where appropriate. Interaction with co-workers, visitors and other staff consistent with the core values of the Hospital.

• Accurately & timely posts all cash, checks, credit cards and electronically transferred funds to patient’s accounts.
• Balances to daily batch deposits
• Assist in the month-end closing by ensuring all appropriate information is posted to the A/R within the allotted time frame.
• Month-End Reports Daily Cash Receipts Daily Cash Journal
• Researches unidentified payments for proper posting or return to the payer
• Completes required number of transactions per day/week/month based on performance guidelines
• Works in an efficient and cohesive group environment
• Supports group and management efforts
• Be willing to cross-train and fill-in in other areas within the department
• Supports and actively participates in initiatives designed to improve individual and organizational performance

The Collections Representative is responsible for daily remit processing, reconciliation, and analysis of payment activity between the bank lockbox, daily deposits, and payment application system. This position will act as a liaison between the department, financial reporting team, front end Registration, Patient Financial Services, and other departments regarding cash/payment related inquiries. This individual will ensure all workflow items are completed within the set turnaround time within quality expectations.

High school diploma or equivalent. Some college experience desirable.

Minimum 5 years experience in healthcare/insurance billing and collections. Familiarity with computer based billing and collection systems. Strong organizational and verbal and written communication skills. Excellent problem-solving skills. Ability to work independently.

Jefferson Health delivers state of the art healthcare services to patients throughout the Delaware Valley and southern New Jersey. Jefferson (Philadelphia University + Thomas Jefferson University) provides more than 8,400 students from nearly 40 states and 40 countries with 21st century professional education. Combined, we have over 30,000 employees.

Jefferson Health, with 14 hospitals (seven are Magnet designated by the ANCC for nursing excellence) and 40+ outpatient and urgent care locations, offers a broad range of primary and complex, highly specialized care that touches the lives of more than four million patients annually. U.S. News & World Report has ranked Thomas Jefferson University Hospital among the nation’s best in eight specialties. Jefferson Health also includes the NCI designated Sidney Kimmel Cancer Center; it is one of only 70 such centers in the nation.

Thomas Jefferson University has ten colleges and three schools that offer more than 160 undergraduate and graduate programs. Our University is dedicated to inter-professional and transdisciplinary approaches to learning that offer a vibrant and expandable platform for professional education. Through this unique model, we are preparing our students for current and yet to be imagined careers.

As an employer, Jefferson maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.

Covid Vaccination is a requirement for employment at Jefferson for employees working at Jefferson’s clinical entities or at the University. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from Jefferson.