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ChristianaCare
ChristianaCare
HealthcareNon-profit
ChristianaCare is a nonprofit teaching health system headquartered in Wilmington, Delaware, with a broad healthcare network spanning primary care, outpatient services, home health, urgent care, and hospital-based treatment. Its three hospitals provide 1,336 beds, supported by a freestanding emergency department and specialized centers for trauma, stroke, heart and vascular care, and cancer care. The organization focuses on improving health outcomes, expanding access to high-quality care, and controlling healthcare costs while advancing clinical practice and education.
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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.

USUnited States
$22 – $34 / hour
HybridFull-timeMiddleSeniorEnglish RequiredBilling Specialist

Description

  • 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

Requirements

  • 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

Benefits

  • 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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