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(r).
We are currently seeking a full-time Billing Representative responsible for claim submission, follow-up and dispute of third-party payer balances for CCHS entities.
Principal duties and responsibilities:
Performs follow-up with commercial 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.
Interacts directly with CCHS staff and third-party payers to resolve account discrepancies.
Resolves credit balances.
Reviews and submits UB-04 forms to third party insurance companies.
Provide trend analysis to management and to insurance carriers in a liaison role.
Reconciles daily reports.
Performs other related duties as the need arises.
Writes and submits appeals when claims are denied incorrectly
Education and experience requirements:
High school graduate or equivalent, Associates Degree Preferred.
3-5 years experience taking care of A/R processes, preferably within a healthcare setting.
Demonstrated strong verbal and written communication skills required.
Ability to organize and complete various tasks simultaneously
Soarian, Meditech and hospital billing experience preferred.
The ability to write effective appeal letters.
A coding background or CPC certification is a plus.
Collaborative and team focused environment
Management Incentive Plan (annual)
Full Medical, Dental, Vision, Life Insurance, etc.
Generous paid time off
EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.
ChristianaCare Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are ...positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.