Collection representative

Home Infusion Insurance Billing Specialist

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.

Job Description :

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

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

Employee Entity : Thomas Jefferson University Hospitals, Inc.

Primary Location Address : 3500 Horizon Drive, King of Prussia, Pennsylvania, United States of America

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.

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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