Physician Billing Representative-Revenue Cycle
Physician Billing Representative-Revenue Cycle
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Salary Not Disclosed
1 Vacancy
Job Description
Job Details
Do you want to work at one of the Top 100 Hospitals in the nation We are guided by our values ofLoveandExcellenceand are passionate about delivering health not just health care. Come join us at ChristianaCare!
ChristianaCare with Hospitals in Wilmington and Newark DE as well as Elkton MD is one of the largest health care providers in the MidAtlantic Region. Named one of Americas Best Hospitals by U.S. News & World Report we have an excess of 1100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital Wilmington Hospital our Ambulatory Services and HomeHealth have all received ANCC Magnet Recognition.
PRIMARY FUNCTION:
Responsible for submitting all charges and followup on all third party balances.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Reviews registration documents to ensure accuracy.
Assigns appropriate payer plans to facilitate billing and updates registration information when necessary.
Reviews all encounter documents for completeness and proper CPT4/ICD10 coding as it relates to physician billing.
Reviews Soarian worklists to ensure claims have all necessary billing information.
Performs followup with insurance carriers to obtain payment status and resolve claim issues.
Submits the appropriate documentation to third party payers to secure payment on claims.
Reviews payment vouchers to ensure proper reimbursement.
Resolves patient insurance discrepancies with office staff at physicians offices.
Review and submit CMS1500 forms to third party insurance companies.
DIRECTION/SUPERVISION RECEIVED:
Staff Associate and/or Billing Manager
EDUCATION AND EXPERIENCE REQUIREMENTS:
High school graduate or equivalent.
Associates Degree preferred. 35 years physician billing/coding experience preferably in a computerized physician billing department or large physician group practice.
An equivalent combination of experience and education may be substituted.
Christianacare Offers:
Collaborative and team focused environment
Full Medical Dental Vision Life Insurance etc.
403(b)
Generous paid time off
Incredible Work/Life benefits including annual membership to care access to backup care services for dependents through retirement planning services financial coaching fitness and wellness reimbursement and great discounts through several vendors for hotels rental cars theme parks shows sporting events movie tickets and much more!
Post End Date
May 2 2025EEO Posting Statement
Christiana Care Health System is an equal opportunity employer firmly committed to prohibiting discrimination whose staff is reflective of its community and considers qualified applicants for open positions without regard to race color sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
