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ChristianaCare — штаб-пәтері Делавэр штатының Уилмингтон қаласында орналасқан, алғашқы медициналық көмек, амбулаториялық қызметтер, үйде көрсетілетін медициналық көмек, шұғыл көмек және аурухана жағдайындағы емдеуді қамтитын кең ауқымды денсаулық сақтау желісі бар коммерциялық емес оқыту денсаулық сақтау жүйесі. Оның үш ауруханасы 1 336 төсек-орынмен қамтамасыз етеді; бұл желі дербес жедел жәрдем бөлімшесімен және жарақат, инсульт, жүрек пен қан тамырлары және онкологиялық көмекке мамандандырылған орталықтармен толықтырылған. Ұйым денсаулық нәтижелерін жақсартуға, жоғары сапалы медициналық көмекке қолжетімділікті кеңейтуге және денсаулық сақтау шығындарын бақылауға бағытталған, сонымен қатар клиникалық тәжірибе мен білім беруді дамытады.
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.
Сипаттама
- 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
Талаптар
- 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
Артықшылықтар
- 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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