Jefferson Health Plans

Patient Account Billing Rep I

Jefferson Health Plans · Full Time · 3 days ago

Jefferson Health Plans

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

The representative is responsible for managing billing processes for secondary and tertiary payers while ensuring compliance with hospital policies and regulations. They must also research and resolve billing inquiries, process claims, and maintain accurate account records.

insurance medical organization

APPLY

Revenue Cycle Representative I

Jefferson Health Plans · Full Time · 3 days ago

Jefferson Health Plans

🌎 United States ⭐ 0-2 yrs exp 💼 Sales

The representative is responsible for following up on outstanding account balances, resolving payment discrepancies, and managing denied or unpaid claims with third-party payers. They must also interact with patients and internal departments to ensure accurate account resolution and maintain compliance with regulatory requirements.

insurance medical communication organization windows

APPLY

Clinical Documentation Improvement Specialist

Jefferson Health Plans · Full Time · 5 days ago

Jefferson Health Plans

🌎 United States ⭐ 2-5 yrs exp 💼 Writing

The Clinical Documentation Improvement Specialist reviews medical records to ensure accurate documentation of diagnoses and procedures for regulatory and financial compliance. They also educate physicians and healthcare staff on documentation requirements to support severity of illness and quality outcomes.

insurance creative medical english reporting microsoft-office training science documentation organization compliance

APPLY

Clinical Documentation Improvement Specialist

Jefferson Health Plans · Full Time · 6 days ago

Jefferson Health Plans

🌎 United States ⭐ 2-5 yrs exp 💼 Writing

The Clinical Documentation Improvement Specialist reviews medical records to ensure accurate documentation of clinical treatment, diagnoses, and outcomes. They also facilitate communication between physicians, coders, and healthcare teams to improve documentation quality and regulatory compliance.

insurance creative medical english reporting microsoft-office training science documentation organization compliance

APPLY

Lead CDI Specialist

Jefferson Health Plans · Full Time · 7 days ago

Jefferson Health Plans

🌎 United States 💵 $93019.85 - $141K per year ⭐ 2-5 yrs exp 💼 Others

The Lead CDI Specialist serves as an expert resource to assist supervisory staff with workflow, staff performance, and day-to-day operations. This role identifies opportunities to partner with providers to improve documentation accuracy and conducts training and mentoring for staff.

insurance medical-coding medical communication reporting feedback operations training hiring science documentation organization mentoring compliance

APPLY

Clinical Appeals Nurse - Full Time Remote - Jefferson Health

Jefferson Health Plans · Full Time · 11 days ago

Jefferson Health Plans

🌎 United States ⭐ 10+ yrs exp 💼 Healthcare

The Clinical Appeals Nurse reviews payor denials and audits to identify lost revenue while writing comprehensive arguments to establish medical necessity. They act as a liaison between the hospital and third-party payors to facilitate the appeals process and ensure regulatory compliance.

insurance medical excel training documentation organization history ms-word compliance

APPLY

CDI Specialist

Jefferson Health Plans · Full Time · 12 days ago

Jefferson Health Plans

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Clinical Documentation Specialist reviews medical records to ensure accurate documentation of clinical treatment, diagnoses, and outcomes. They also facilitate communication between physicians, coders, and other healthcare team members to improve documentation quality and regulatory compliance.

insurance creative medical english reporting microsoft-office training science documentation organization compliance

APPLY

Adjunct Faculty – Medical Terminology (Undergraduate level)

Jefferson Health Plans · Full Time · 24 days ago

Jefferson Health Plans

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Teach an asynchronous online Medical Terminology course to undergraduate health sciences students. Responsibilities include grading assignments, mentoring students, and communicating progress to the Department Chair.

insurance assistant medical communication documentation organization medical-terminology

APPLY

Clinical Documentation Audit Specialist

Jefferson Health Plans · Full Time · a month ago

Jefferson Health Plans

🌎 United States ⭐ 2-5 yrs exp 💼 Writing

The specialist performs expert-level reviews of medical records to ensure accurate quality data reporting and clinical documentation. They collaborate with providers to clarify documentation through queries and conduct quality audits of other CDI specialists.

insurance medical communication reporting feedback training documentation organization compliance

APPLY

Virtual Primary Care/Supplemental Access Physician - Full Time - Jefferson Health

Jefferson Health Plans · Full Time · 2 months ago

Jefferson Health Plans

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Provide telehealth-based primary care to patients to help them reconnect with a medical home and reintegrate into a primary care practice. Responsibilities include conducting annual wellness visits, managing chronic diseases, and coordinating with population health teams.

APPLY