Today, Jefferson Health and its network of hospitals and physician practices serve patients throughout the Delaware Valley. We have a robust network of 18 hospitals, 3500 physicians, 9600 nurses, 3,876 licensed beds, and physician practices throughout the counties of:

• Bucks
• Camden
• Gloucester
• Montgomery
• Philadelphia

We are Philadelphia#39;s second largest employer, and nationally ranked by US News amp; World Report in seven specialties including #2 Ophthalmology (Wills Eye), #9 Rehabilitation (MossRehab), #10 in Orthopedics (Rothman Orthopaedics at Jefferson Health, Philadelphia Hand to Shoulder Center, 3B Orthopedics, the Abington Orthopedic amp; Spine). Whether yoursquo;re in the city or the suburbs, Jefferson Health provides the exceptional care you expect ndash; close to home or work ndash; through our broad family of primary care physicians and specialists. Jefferson Health is home to nationally ranked experts who provide a personalized care plan for you. Sidney Kimmel Cancer Center ndash; Jefferson Health is one of only 70 NCI-designated cancer centers in the country. With more than 30,000 employees, we are the largest health system in the Philadelphia region by total licensed beds. And our work to improve lives is never done.

In keeping with Jefferson#39;s Mission, We Improve Lives, it is our goal to recruit, retain, develop and reward highly-qualified employees. If you are enthusiastic, caring and dedicated to service excellence, we invite you to consider joining Jefferson. Jefferson encourages its employees to expand their knowledge and develop their careers through growth opportunities and continuing education.

PRIMARY FUNCTION: Under the direction of the Practice Manager in conjunction with the finance team this position provides advanced secretarial, administrative, financial and clinical management support as the Administrative Coordinator. This position is responsible for the including but not limited to insurance verification, acquiring all authorizations, referrals and appointment scheduling. Provides customer service to patients and payors related to in Meadowbrook Infusions services

ESSENTIAL FUNCTIONS:

• Verifies insurance, initiates prior authorizations and reauthorizes insurance.
• Act as the primary source for patient communication regarding insurance authorizations and referrals.
• Work all denials and appeals with the financial team in a timely manner under the guidance of the departmental billing department.
• Updates all providers on insurance documentation requirements and updated policies to ensure patient approvals.
• Understanding of hospital and physician claims and payments to identify patient responsibility.
• Submitting claims to Patient Assistance Programs after insurance payments.
• Working knowledge of healthcare insurance, particularly Medicare and Medicaid.
• Working knowledge of Infusion medications Patient Assistance Programs.
• Stays abreast of changes in major insurance plans and Patient Assistance Programs.
• Enrollment of different Patient Assistance Programs.
• Perform advanced administrative tasks including triage calls, coordination and scheduling. Respond to complex inquiries and assist stakeholders.
• Educate patients as to their payor guidelines/requirements and assist them to obtain proper authorization
• Performs all services in a professional, timely manner to assure accurate and timely service with respect to infusion services
• Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson.

High School Diploma or GED required.

middot; Previous experience required in one or more of the following roles: Patient Access Representative, Financial Counselor, Customer Service Representative, Patient Accounts Billing Representative, Patient Accounts Collections Representative.

middot; Knowledge of hospital and physician billing and collections.

middot; Knowledge of State and Federal financial assistance programs.

middot; Knowledge of medical terminology; negotiating skills; and detail orientation.

middot; Clear, effective communication skills; mature approach to problem solving for all types of issues;

middot; Skills in using PC computers and computer applications

Covid Vaccination is a requirement for employment at Jefferson for employees working at Jeffersonrsquo;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 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 Magnetreg;-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.

Jeffersonrsquo;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 amp; Think Differently and Do the Right Thing

As an employer, Jeffersonmaintains 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.