Patient Account Billing Rep I

Job Details

Patient Account Billing Representative I

Job Description

Patient Account Billing Representative I

Summary
Responsible for administering the billing to secondary and tertiary payers in alignment with all regulations and hospital policies. Research and respond to inquiries/complaints related to the billing process resolving all elements for processing.

Job Duties

• Processes claims and edits via assigned work queues to ensure third parties have received the information in a timely and accurate fashion.
• Research, make necessary corrections and update accounts ensuring accurate billing
• Remains current on payer plan changes, updates and website in determining benefit eligibility
• Review and resolve assigned charge review edits
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

Minimum Qualifications

• High School Diploma/GED
• 2 years healthcare revenue cycle experience or related experience
• Knowledge of healthcare terminology
• Knowledge of State and Federal healthcare billing guidelines
• Demonstrated proficiency in mathematics

Preferred Qualifications

• Bachelor’s Degree or
• Master’s Degree
• experience working with EPIC
• experience in telecommuting
• Knowledge of IDC-10 and CPT coding

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University

Primary Location Address

1101 Market, Philadelphia, 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.