- The Billing Clerk is accountable for meeting or exceeding daily/weekly/monthly productivity and quality targets set forth by Professional Fee Billing management
- Maintains a complete understanding of the appropriate follow up protocols and required software programs
- 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
- Verify and get acclimated navigating multiple eligibility websites and portals, such as Navinet, Promise, Pear, IPAS, Availity, Novitasphere, etc., while using other portals
- Update all pertinent demographic and insurance information on accounts via IDX
- Analyze and problem solve registration and ETM edits that can avoid charges from being billed in IDX
- Review EOB's/remits in IDX(Phys. system) to ensure proper posting and patient balances on accounts
- Have the ability, but not limited to working other task, such as correspondences, mail, etc.
- Meets productivity and quality measurement standards as set forth by the Professional Fee Billing Department
- 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
- Stays current with Medicare and Medicaid regulations applying such to day-to-day operations of the department to maintain corporate compliance
- Is knowledgeable of managed care contractual arrangements
- Responsible for exercising regular and punctual attendance; complies with EHN policies regarding absenteeism and tardiness
- 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
- Works in a safe manner and follows all EHN safety requirements
- Reports all incidents, near misses, and adverse events
- Performs other duties as required
Qualifications - 2 years Professional Fee billing experience preferred
- IDX / GE Flowcast software experience preferred
- High school diploma or GED equivalent required
Closing Statement Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley. Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds.
Through the merger of Thomas Jefferson University and Philadelphia University in 2017, our University includes ten colleges and four schools. We are an NCAA Division II university and an R2 national doctoral university offering undergraduate and graduate-level programs that provide students with a forward-thinking education in architecture, business, design, engineering, fashion and textiles, health, medicine and social science.
Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-hospital academic health center in 2015, to an 18-hospital health system through mergers and combinations that include hospitals at Abington Health, Aria Health, Kennedy Health, Magee Rehabilitation and Einstein Healthcare Network. We have over 50 outpatient and urgent care centers; ten Magnet -designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (one of only 70 in the country and one of only two in the region); and one of the largest faculty-based telehealth networks in the country. In 2021, Jefferson Health became the sole owner of HealthPartners Plan, a not-for-profit health maintenance organization in Southeastern Pennsylvania. We are the first health system regionally to create an aligned payer-provider partnership.
Jefferson's mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results.
- OUR MISSION: We improve lives.
- OUR VISION: Reimagining health, education and discovery to create unparalleled value
- OUR VALUES: Put People First, Be Bold & Think Differently and Do the Right Thing
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.
Par Reference Code 101806