Billing Representative
Billing Representative
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Not Disclosed
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:
Collection of insurance accounts receivable including but not limited to reporting analysis disputes appeals and reconciliation of acute hospital/facility claims.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Reviews and submits UB04 forms to insurance companies.
Performs followup with insurance representatives to obtain claim status payment and to resolve claim discrepancies.
Submits itemized bills medical records and corrected claims as needed.
Reviews payment vouchers to ensure proper reimbursement.
Interacts directly with department staff Revenue Integrity HIMS and payer representatives to evaluate and resolve line level denials.
Provides trend analysis to management leadership and insurance liaisons.
Writes and submits appeals when claims deny incorrectly.
Works rejection and late charge reports.
Utilizes the Soarian/Cerner billing system for AR and denial reporting.
Utilizes ePremis for clean claim review and transmission.
Accesses external payer sites for payer policies and claim disputes.
Performs other related duties as required.
EDUCATION AND EXPERIENCE REQUIREMENTS:
High school graduate or equivalent Associates Degree preferred.
35 years of experience in A/R processes preferably within a hospital billing setting.
Demonstrated strong verbal and written communication skills.
Strong organizational and communication skills.
Ability to multitask selfdirect work independently and with team and team leads.
Soarian Power Chart and ePremis experience preferred.
Post End Date
Apr 18 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
