Billing Specialist
3 days ago
Are you passionate about delivering exceptional patient care and ensuring seamless financial operations? We are seeking a skilled Billing Representative to join our team at ChristianaCare, one of the largest healthcare providers in the Mid-Atlantic Region.
Job Summary:The Billing Representative will be responsible for collecting insurance accounts receivable, including reporting, analysis, disputes, appeals, and reconciliation of acute hospital/facility claims. This role requires strong communication and organizational skills, as well as the ability to work independently and as part of a team.
Key Responsibilities:- Review and submit UB-04 forms to insurance companies
- Perform follow-up with insurance representatives to obtain claim status and resolve claim discrepancies
- Submit itemized bills, medical records, and corrected claims as needed
- Review payment vouchers to ensure proper reimbursement
- Interact with department staff, Revenue Integrity, HIMS, and payer representatives to evaluate and resolve line-level denials
- Provide trend analysis to management and leadership
- Write and submit appeals when claims deny incorrectly
- Work rejection and late charge reports
- Utilize the Soarian/Cerner billing system for AR and denial reporting
- Access external payer sites for payer policies and claim disputes
- High school graduate or equivalent, Associate's Degree preferred
- 3-5 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 multi-task, self-direct, work independently, and with team and team leads
- Soarian, Power Chart, and ePremis experience preferred
We offer a dynamic and supportive work environment, opportunities for professional growth and development, and a competitive compensation package. If you are a motivated and detail-oriented individual with a passion for healthcare finance, we encourage you to apply for this exciting opportunity.
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