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Job Details

Job Description

PRIMARY FUNCTION:

Obtain billing documentation from physicians and input charges given by physicians. Complete all accounts receivable and claim manager edits.

ESSENTIAL FUNCTIONS:

• Interacts with co-workers, visitors, and other staff consistent with the Jefferson iSCORE values
• Input charges given by physician; adding modifiers when necessary
• Completes all accounts receivable and claims manager edits.
• Assists patients with billing and insurance related questions.
• Ensures billing compliance with third party payor requirements and regulations.

Responsible for managing workqueues ensuring timely updates

• Responsible for mgmt portion of daily reconciliation of bank deposits.
• Ensuring monies are deposited on a daily basis.
• Responsible for obtaining retro authorizations
• Responsbile for reviewing account receivable reports and updating.
• Ensures billing compliance with third party payor requirements and regulations.
• Educate physciains on complainces
• Responsible for completing surgical billing.

·     

  Performs other related duties as directed by management

• Minimum of five years of coding experience required
• Experience working with accounts receivableand modifiers.
• Thorough knowledge of medical coding guidelines and regulations including compliance and reimbursement requirements set forth by the Centers for Medicare & Medicaid Services.
• Working knowledge of medical necessity evaluation claims denials, bundling issues and charge capture.
• Knowledge of anatomy, physiology and medical terminology
• Knowledge of third party billing and payment requirement,as well as requirements of managed care plans.

ADDITIONAL INFORMATION:

Electronic Charge Entry , IDX, Allscripts, EPIC Experience Preferred

Work Shift

Worker Sub Type

Employee Entity

Primary Location Address

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. 

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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