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.

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