Financial Coordinator - Oral and Maxillofacial Surgery - Navy Yard - Full-Time Days

Job Details

The Financial Coordinator works with patients and their families compassionately and tactfully, prior to, during and following OMFS Services to allow for the continuity of care. The OMFS financial coordinator is responsible for being up to date on all Medicare cost reporting rules and regulations. The OMFS financial coordinator conducts financial evaluations with patients being seen by Oral Surgeon team to determine transplantation appropriateness. Works with the OMFS billing colleagues and Practice Manager and other Jefferson billing colleagues to rectify billing and insurance errors. Ensures assigned Epic work queues are appropriately managed and reviewed in a timely manner.

Job Description

• To obtain financial clearance information and prior authorizations for all phases of OMFS services.
• Educate patients in OMFS clinic regarding insurance coverages and work with patients and families on obtaining appropriate primary coverage, secondary coverage, and pharmacy benefits in order to comply with Jefferson policy and ensure patient is fully covered for services being rendered.
• Provide additional advice and financial counseling to uninsured and underinsured patients on corrective measures to obtain coverage.
• Assist the lead financial coordinator in financial process for urgent/emergent listings and evaluations.
• Communicate financial findings to OMFS colleagues team members including, Patient Service Representatives, Practice Manger, physicians, surgeons, and billing team

Minimum Education and Experience Requirements:

• High School Diploma, required
• Bachelor’s Degree preferred
• Computer skills including proficiency in Microsoft Word and ability to navigate NaviNet, Epic, and other insurance-based platforms, basic understanding of medical terminology, Epic experience including extensive in-class training and shadowing, insurance experience including an understanding of state and federal programs.

• Minimum of two years health service experience in finance, billing, customer service, reimbursement, or other related area
• Strong problem solving skills
• Strong communications and writing skills
• Proficiency with computer systems such as outlook and Microsoft word

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University Hospitals, Inc.

Primary Location Address

3 Crescent Drive, 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 diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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