54036E

Under the direction of the Insurance and Charge Posting Manager, the Charge Entry Specialist is responsible for reviewing encounters in the practice management system (e.g., Cerner) and RCx Rule making corrections as needed in accordance with applicable guidelines. Manually charge entry of multiple service lines in IDX. Work also includes inputting encounters and other source documents received from clinics in an accurate, compliant, and timely manner. An incumbent engages in various charge capture tasks/initiatives to ensure charges are entered, edited, and billed in a timely and efficient manner to maximize revenues and serves as a resource to other staff and billing departments for complex charge review/entry issues. Preparing and analyzing reports. Front end reconciliation process. Manual payment posting and analyzing Phreesia stale payment. Providing feedback to providers and MA with billing errors. Training of new and existing teammates. Responsible for seeking resolution to problems relating to charge entry and ETM Edits. Insurance verification.

Work requires considerable understanding of CPT and diagnosis codes, ICD-9/10 coding, anatomy, and physiology as it relates to the medical field. Effective troubleshooting skills are required to facilitate consultation with multiple team members to address and resolve issues having a potential impact on revenues.

High School Diploma or G.E.D

1). Minimum of one to two (1-2) years office administrative work experience with preference towards hospital or physician offices

2). Ability to type at least 65 words per minute

3). Ability to communicate effectively (both oral and written) with co-workers, customers, case managers, third party payors, physician, nurses, and other personnel.

• Knowledge of CPT and ICD-9 Codes
• Knowledge of modifiers
• Verbal and written communication skills

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.