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Collection Representative- King of Prussia

Thomas Jefferson University & Jefferson Health
United States, Pennsylvania, King of Prussia
3500 Horizon Drive (Show on map)
Jan 20, 2025

Job Details

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 CSR's in qualifying new orders. Resolve disputes in billings and when needed, initiate the collection process through telephone contact, letters, etc.

The position includes, but is not limited to the following essential functions.

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
*Interacts with co-workers, visitors, and other staff consistent with the core values of the Hospital.

Job Description

EDUCATIONAL/TRAINING REQUIREMENTS:

High school diploma or equivalent. Some college desirable.

CERTIFICATES, LICENSES, AND REGISTRATION:

None

EXPERIENCE REQUIREMENTS:

  • 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.

EDUCATIONAL/TRAINING REQUIREMENTS:

High school diploma or equivalent. Some college desirable.

CERTIFICATES, LICENSES, AND REGISTRATION:

None

EXPERIENCE REQUIREMENTS:

  • 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.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Primary Location Address

3500 Horizon Drive, King of Prussia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

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