Financial Analyst III - Full Time / Days - Jefferson Center City

Jefferson Health Plans • Philadelphia, PA

1d

About The Position

Coordinates the payment activity for the outpatient pharmacies. Oversees outpatient financial reconciliations to ensure accurate billing and posting of insurance payments to appropriate accounts. Job Description ESSENTIAL FUNCTIONS: Tracks, monitors and posts all financial data for the five outpatient pharmacies. Prepares monthly and quarterly financial reports (EPIC/Qlik) Maintains payment postings and resolves insurance issues in the work queues Prepares and invoices all IDC monthly charges Reconciles daily and end of the month business activities including all postings Fields customer/patient service calls regarding outstanding balances Creates special project revenue and expense reports as requested. Follows through on monies due Pharmacy Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson. Designed and maintained a database of all past and current manual postings as including electronic payments Collaborate with the Epic team in updating workflows and creating training material for other pharmacies Account for account work queues cleanup Delegate for pharmacy managers for all guarantor account cleanup and posting questions Absorbed the duties of the Apothecary Financial Assistant position upon his recent retirement Implemented and maintained financial processes for the outpatient pharmacies to assure accuracies and financial accountability Supervise the clearing guarantor accounts from 2016 Liable for posting all outstanding checks of four stores from 2016 due to the switch to EPIC Retrieves online billing information in response to outside billing inquiries. Obtains pharmacy records as necessary for purposes of responding to inquiries. Performs insurance verification, third party billing and adjudication, and follow up to original billings including Medicare Completes applications to new insurers and maintains all third party contracts. Corresponds with insurers and patients as appropriate regarding billing issues. Liason with finance and case management to resolve insurance, financial or discharge prescription issues Other duties as assigned.

Requirements

• Bachelors of Science in Business or related field
• 3-5 years’ experience in business admin in a health care setting
• MS Office / Excel - Intermediate Level
• EPIC – Willow Ambulatory

Responsibilities

• Tracks, monitors and posts all financial data for the five outpatient pharmacies.
• Prepares monthly and quarterly financial reports (EPIC/Qlik)
• Maintains payment postings and resolves insurance issues in the work queues
• Prepares and invoices all IDC monthly charges
• Reconciles daily and end of the month business activities including all postings
• Fields customer/patient service calls regarding outstanding balances
• Creates special project revenue and expense reports as requested.
• Follows through on monies due Pharmacy
• Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson.
• Designed and maintained a database of all past and current manual postings as including electronic payments
• Collaborate with the Epic team in updating workflows and creating training material for other pharmacies
• Account for account work queues cleanup
• Delegate for pharmacy managers for all guarantor account cleanup and posting questions
• Absorbed the duties of the Apothecary Financial Assistant position upon his recent retirement
• Implemented and maintained financial processes for the outpatient pharmacies to assure accuracies and financial accountability
• Supervise the clearing guarantor accounts from 2016
• Liable for posting all outstanding checks of four stores from 2016 due to the switch to EPIC
• Retrieves online billing information in response to outside billing inquiries.
• Obtains pharmacy records as necessary for purposes of responding to inquiries.
• Performs insurance verification, third party billing and adjudication, and follow up to original billings including Medicare
• Completes applications to new insurers and maintains all third party contracts.
• Corresponds with insurers and patients as appropriate regarding billing issues.
• Liason with finance and case management to resolve insurance, financial or discharge prescription issues
• Other duties as assigned.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level