Physician Billing Representative-Revenue Cycle

2 months ago

Wilmington DE, United States ChristianaCare Full time

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and 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 Mid-Atlantic Region. Named one of “America’s Best Hospitals by U.S. News & World Report, we have an excess of 1,100 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 follow-up 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 follow-up 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. 3-5 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.com, access to backup care services for dependents through Care@Work, 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

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