Job description

PRIMARY FUNCTION:
The Business Services Representative reports to the Accounts Receivable Manager and is responsible for accurate billing of accounts to insurance carriers and timely follow up on unpaid/denied/underpaid patient accounts.
Critical duties include resolving all claim edits to ensure a “clean claim” is received by the insurance carrier in a timely manner as well as conducting follow up activity to resolve unpaid or underpaid balances.

ESSENTIAL FUNCTIONS:
Meets all standards of the Patient Satisfaction Initiative Criteria by respecting confidentiality and privacy; treating others with courtesy, dignity, and respect; as well as responding to customer concerns in a timely manner.
Processes claims and edits via the electronic and paper billing system to ensure third parties have received the information in a timely accurate fashion.
Reviews correspondence and takes appropriate action to expedite the resolution of outstanding receivables within established quality/time standards
Conducts and completes special billing/follow up projects as assigned.
Other duties as assigned
Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson.

EDUCATIONAL/TRAINING REQUIREMENTS:
Education includes High School Diploma or GED, Billing and/or coding certificate preferred
Knowledge of word, excel
Ability to manage time effectively
Excellent written and communication skills

Identifies and communicates possible system and billing problems to appropriate manager

Conditions of Employment

Covid Vaccination is a requirement for employment at Jefferson for employees working at Jefferson’s clinical entities or at the University. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from Jefferson.

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.

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