Billing Representative Jobs

• Makes decisions in an ethical/effective/sound manner, adheres to corporate compliance/risk management/safety standards, displays an open-minded attitude, establishes priorities, conceptualizes, and organizes time and resources to accomplish the job
• Uses creativity/innovation in carrying out responsibilities/introducing new ideas or programs; adapts traditional methodologies in accordance with a changing business environment
• Is knowledgeable of managed care contractual arrangements and EHN charity policies
• Utilizes IDX / BAR(Physician billing), SMS(Hospital billing), Streamline modules and all other EHN software systems in accordance with Patient Financial Services and/or EHN protocols
• Update all pertinent demographic and insurance information on accounts via Cerner and IDX
• Verify and get acclimated navigating multiple eligibility websites and portals, such as Navinet, Promise, Pear, IPAS, Availity, Novitasphere, etc., while using other portals to print patient statements, such as Xenos
• Meets productivity and quality measurement standards as set forth by the Professional Fee Billing Department
• Establishes effective relationships with other Customer Service Representatives
• Have the ability to complete cash applications transactions, such as One-writes, reconcile petty cash fund, along with currency and coin orders, complete daily money audits, etc
• Addresses/resolve patient billing discrepancies in a timely manner. Also, review patient telephone calls to identify trends, preventable root cause issues, and communicates these to the Customer Service Supervisor
• Analyze and problem solve registration and ETM edits that can avoid charges from being billed in IDX
• Adheres to EHN confidentiality policy which includes verbal, written, computer generated, computer accessed, filmed, and recorded information related to patients, their family and visitors, staff, physicians, and clients. Responsible for the protection of confidentiality of data always
• The Customer Service Representative is accountable for meeting or exceeding daily/weekly/monthly productivity and quality targets set forth by Professional Fee Billing management
• Establishes budget plans in accordance with the EHN Budget Plan Policy
• Responsible for exercising regular and punctual attendance; complies with EHN policies regarding absenteeism and tardiness
• Develops and maintains a working knowledge of EHN charity care policy, budget plan guidelines, and 3rd party insurance claims processing
• Review EOB’s/remits in IDX(Phys. system) and Doc Imaging(Hosp. system) to ensure proper posting and patient balances on accounts
• Have the ability, but not limited to working other task, such as bankruptcies, correspondences, mail, etc.
• Stays current with Medicare and Medicaid regulations applying such to day-to-day operations of the department to maintain corporate compliance
• Process patient payments for Physician and Hospital billing via HealthPay24
• Works in a safe manner and follows all EHN safety requirements
• Reports all incidents, near misses, and adverse events
• Adheres to all customer service/patient satisfaction guidelines set forth by the Professional Fee Billing Department
• Maintains a complete understanding of the appropriate follow up protocols and required software programs
• The Customer Service Representative is responsible for providing impressive customer service when answering patient telephone calls

Performs other duties as required

• IDX / GE Flowcast software experience preferred
• Call center experience preferred
• High school diploma or GED equivalent required
• 2 years Professional Fee billing experience preferred

Jefferson Health delivers state of the art healthcare services to patients throughout the Delaware Valley and southern New Jersey. Jefferson (Philadelphia University + Thomas Jefferson University) provides more than 8,400 students from nearly 40 states and 40 countries with 21st century professional education. Combined, we have over 30,000 employees.

Jefferson Health, with 14 hospitals (seven are Magnet designated by the ANCC for nursing excellence) and 40+ outpatient and urgent care locations, offers a broad range of primary and complex, highly specialized care that touches the lives of more than four million patients annually. U.S. News & World Report has ranked Thomas Jefferson University Hospital among the nation’s best in eight specialties. Jefferson Health also includes the NCI designated Sidney Kimmel Cancer Center; it is one of only 70 such centers in the nation.

Thomas Jefferson University has ten colleges and three schools that offer more than 160 undergraduate and graduate programs. Our University is dedicated to inter-professional and transdisciplinary approaches to learning that offer a vibrant and expandable platform for professional education. Through this unique model, we are preparing our students for current and yet to be imagined careers.

As an employer, Jefferson maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.