JUP Denials Specialist

Jefferson Health Plans; Philadelphia (Philadelphia County); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Job summary

Jefferson Health Plans is seeking a Sr. Billing Coordinator to manage billing and coding functions for procedures and services. The role includes assisting with reports and duties assigned by the Director of Practice Operations.

Responsibilities include reviewing inpatient charges for PBS submission, reconciling cash, signing batches, and supporting bank deposits. The position emphasizes accuracy, compliance, and collaboration with the compliance office.

Qualifications

• High school diploma or GED required.
• 5+ years in medical billing preferred.
• Experience coding inpatient charges is a plus.

Responsibilities

• Review/Code Inpatient Charges for submission to PBS.
• Reconcile daily cash and oversee bank deposits as needed.
• Review and sign batches before submitting to PBS.
• Work Vericlaim Info X Error Report Daily.
• Assist Director with Bank Deposit Reports when needed.
• Assist Director with monthly Collection Report.
• Help review all charges to ensure patient responsibility.
• Work with Compliance office as needed.
• Copy charts for compliance/CMS requests.
• Work with patients to collect patient balances.

Skills

Medical billing

Inpatient coding

Education

High School Diploma/GED

Tools

PBS

Job description

Number of Positions In Requisition

2

Job Details

Sr. Billing Coordinator

Job Description

Billing Coord Sr is responsible for all functions related to billing and coding of procedures and services for Jefferson Health as well as assisting with needed reports, and other duties as assigned by the Director of Practice Operations.

ESSENTIAL FUNCTIONS

• Demonstrate commitment to our core values of excellence and innovation, integrity and respect, teamwork and communication.
• Review/Code Inpatient Charges for submission to Physician Billing Services (PBS)
• Reconcile daily cash and oversee bank deposits as needed
• 5Review and sign batches before submitting to PBS
• Work Vericlaim Info X Error Report Daily
• Assist Director with Bank Deposit Reports when needed
• Assist Director with weekly/monthly Practice Work file Rejection Reports – calling carriers as needed to question rejections and completing charge corrections as necessary
• Assist Director with developing and implementing procedures to streamline billing process and improve on efficiency of process
• Assist Director in the reduction of billing Lag Times for the Department
• Assist Director with monthly Collection Report
• Help to review all charges to ensure patient responsibility
• Work with Compliance office as needed
• Copy charts for compliance/CMS requests/etc
• Work with patients to collect patient balances
• Know policies and procedures applicable to assigned duties and emergency events.
• Report errors or events of actual or potential harm.

QUALIFICATIONS

The requirements listed below are representative of the knowledge, skill, and/or ability required or preferred.

Education - Required

• High School Diploma/GED

Experience - Preferred

• 5 years in medical billing

VALUES AND HABITS

Put People First

• Put People First: Create a safe environment where all colleagues feel supported and motivated to be their best at work.
• Build relationships: Build belonging, empathy, and collaboration.
• Engage with grace: Assume positive intent and share your perspective thoughtfully.
• Create moments: Aff…

Do What’s Right

• Do What’s Right: Focus on how we work most effectively to get the best results.
• Prioritize What Matters: Clarify what’s most critical and why.
• Align on Expectations: Translate priorities into agreed upon accountabilities and outcomes.
• Act with integrity: Behave ethically and honestly in all interactions and business practices.

Pursue Excellence

• Pursue Excellence: Focus on learning and growth.
• Look and Listen: Explore new ways of working and stay curious by learning from others.
• Innovate with Intent: Try new ideas that support organizational priorities.
• Value Lessons Learned: Acknowledge progress and insights that come from striving to improve.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Jefferson University Physicians

Primary Location Address

1100 Chestnut Street, Philadelphia, Pennsylvania, United States of America

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.

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 diemcolleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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