Financial Pre-Clearance/Billing

Health Partners Plans; Philadelphia (Philadelphia County); Presencial; USD 45 000 - 65 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical insurance

Dental and vision coverage

Retirement plans

Tuition assistance

Resumo da oferta

Thomas Jefferson University Hospitals, Inc. is seeking a Financial Pre-Clearance role to handle insurance verification and pre-authorization for ambulatory surgery center operations. The role includes calculating physician estimates and delivering customer service for billing issues.

Weekend day shifts and regular employment at a major health system, enabling interaction with diverse staff and patients across the Jefferson network.

Qualificações

• Knowledge of Payor Portals and Insurance Rules for Authorization of OP Surgery.
• Knowledge of Estimates and Ins Benefit Analysis.
• Knowledge of Customer Service Basics/Billing and Coding updates.

Responsabilidades

• Verify and authorize insurance for ASC (all physicians and facility).
• Update and maintain patient registrations.
• Provide Physician Estimates.
• Provide Customer Service for Billing Issues.
• Work-queue related work on Billing Edits.

Conhecimentos

Payor Portals knowledge

Insurance Rules for Authorization

Estimates and Ins Benefit Analysis

Customer Service Basics/Billing and 0d

Formação académica

HS Diploma

Descrição da oferta de emprego

Job Summary

Financial Pre-Clearance for the Cherry Hill Surgery Center; Estimates, Customer Service

Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

Responsibilities

• Verify and authorize insurance for ASC (all physicians and facility)
• Update and maintain patient registrations
• Provide Physician Estimates
• Provide Customer Service for Billing Issues
• Work-queue related work on Billing Edits

Competencies (Knowledge, Skills, and Abilities Required)

• Knowledge of Payor Portals and Insurance Rules for Authorization of OP Surgery
• Knowledge of Estimates and Ins Benefit Analysis
• Knowledge of Customer Service Basics/Billing and Coding updates

Minimum Education and Experience Requirements

• Education: Minimum of HS Diploma (or equivalency)
• Experience: Minimum of 2 years experience in Financial Pre-Clearance and BIlling

Work Shift

Weekend Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University Hospitals, Inc. Primary Location Address 1100 Chestnut Street, Philadelphia, Pennsylvania, United States of America

Company Overview

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. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Equal Opportunity Statement

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.

Benefits

• 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.
• For more benefits information, please click here