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ChristianaCare
ChristianaCare
गैर-लाभकारीस्वास्थ्य सेवा
ChristianaCare एक गैर-लाभकारी शिक्षण स्वास्थ्य प्रणाली है, जिसका मुख्यालय विलमिंगटन, डेलावेयर में है। इसका व्यापक स्वास्थ्य सेवा नेटवर्क प्राथमिक देखभाल, बाह्य रोगी सेवाओं, गृह स्वास्थ्य, त्वरित देखभाल और अस्पताल-आधारित उपचार तक फैला हुआ है। इसके तीन अस्पतालों में 1,336 बिस्तर हैं, जिन्हें एक स्वतंत्र आपातकालीन विभाग और आघात, स्ट्रोक, हृदय एवं रक्तवाहिका देखभाल तथा कैंसर देखभाल के लिए विशेष केंद्रों का सहयोग प्राप्त है। यह संगठन स्वास्थ्य परिणामों में सुधार, उच्च गुणवत्ता वाली देखभाल तक पहुंच बढ़ाने और स्वास्थ्य सेवा लागत को नियंत्रित करने पर ध्यान केंद्रित करता है, साथ ही नैदानिक ​​अभ्यास और शिक्षा को आगे बढ़ाता है।
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कंपनी की नौकरियाँ

Physician Billing Representative II

ChristianaCare seeks a Physician Billing Representative II to investigate insurance denials, unpaid claims, and payer discrepancies in a hybrid Wilmington role. The position reviews coding and coverage, rebills accounts, and supports accurate third-party reimbursement.

USसंयुक्त राज्य
$22 – $34 / घंटा
हाइब्रिडपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीबिलिंग विशेषज्ञ

विवरण

  • Investigate billing denials and determine the appropriate resolution steps
  • Coordinate with insurers, physician practices, hospital teams, and patients
  • Contact third-party insurers to address unpaid balances and claim problems
  • Manage denial and no-response queues to recover outstanding account balances
  • Research authorizations, rebill claims, and complete balance write-offs or transfers
  • Refer unresolved or complex matters to the appropriate party
  • Assess coverage updates and rebill charges when prior billing is no longer appropriate
  • Select accurate payer plans and maintain current registration records
  • Check encounter records for completeness and accurate CPT4 and ICD10 coding
  • Verify that claims include every required billing detail
  • Achieve established departmental productivity targets
  • Provide third-party payers with the required claim forms and supporting records
  • Audit payment vouchers to confirm reimbursement accuracy
  • Work with physician office staff to correct patient insurance discrepancies
  • Follow safety procedures and report unsafe conduct, conditions, hazards, or violations
  • Handle additional related responsibilities as assigned

आवश्यकताएँ

  • High school completion or an equivalent credential
  • An associate degree is preferred
  • Three to five years of physician billing or coding experience, ideally in a computerized physician billing department or large physician group practice
  • Experience with Epic is preferred
  • A comparable combination of education and experience may be accepted
  • Previous experience using and interpreting CARC and RARC codes
  • Comprehensive knowledge of the revenue cycle, including patient access and Patient Financial Services policies and procedures
  • Familiarity with medical terminology
  • Working knowledge of physician billing and reimbursement policies and procedures
  • Knowledge of CPT4 and ICD10 codes used in physician billing
  • Understanding of physician office operations
  • Capability to enter, modify, and retrieve records on a personal computer
  • Effective written and verbal communication skills
  • Ability to work independently within defined guidelines
  • Sound judgment and tact in handling work situations
  • Ability to alternate between sitting, standing, and walking
  • Ability to lift and transport light objects
  • Manual dexterity for placing calls and entering data on a computer
  • Sufficient vision to dial telephone numbers and read computer displays

लाभ

  • Health insurance
  • Paid time off
  • Retirement plan
  • Employee assistance program
  • Employee benefits designed to support the wellness of employees and their families

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