Billing Representative

Job Requisition #: JR57474

End Date: 7/31/2021

Location: Elkton, Maryland

Position Type: Clerical/Administrative/Billing

Shift: Day Shift, No Rotation

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Job Summary: Provides insurance verification for all scheduled and unscheduled same day surgery patients, through contact with insurance companies, employers, patients and patients' families.

  • Essential Job Functions:
  • Begins and sets up the precertification process for the Utilization Review Coordinators to obtain authorization for the patient stay through their clinical review.
  • Obtains and documents benefits in the BAR system for cash collection and billing follow up.
  • Prints the daily census as of midnight for inpatients (Inpatient Admission Register by Time).
  • Prints the Inpatient Scheduling Appointment List daily.
  • Divides all inpatient and/or observation registration sheets by insurance; i.e. Blue Cross, Medicare, Mamsi, USHC, etc.
  • Reviews all self pay patients for possible coverage, ability to pay, etc. Checks the Meditech system for previous dates of service and previous insurance/payment information.
  • Telephones the insurance company for benefits and obtains the telephone number for precertification and calls for a Precert and verifies the patient identification number, group number and the claim address.
  • Resolves issues whenever there is a discrepancies in insurance.
  • Contacts the Utilization Review Case Coordinator responsible for the case in reference to any insurance discrepancies so that both insurances can be updated with concurrent review if necessary.
  • Contacts Ancillary Departments for which benefits are verified in reference to any discrepancies, precertification or authorization problems encountered in a timely manner.
  • Updates self pay accounts when billing information is obtained. Verifies and updates all insurance information, demographics, pre-existing conditions, etc. to insure prompt and proper payment of the claim Documents all verified information following the format established on the Insurance verification/Precertification Form.
  • Assists coworkers with inquiries to specific payor/patient, benefit and precertification criteria as requested.
  • This job requires employees to demonstrate initial and annual competencies in order to remain in the position. Performs other duties as assigned by management.

Education: High School Diploma or GED equivalent required. Some college course work preferred.

Licenses / Certifications: None Required.

Experience: Minimum six months of insurance billing and word processing or related experience preferred. Work Schedule: Full time: Monday - Friday 8:00am - 4:30pm, Attendance at special events as requested. Potential for occasional weekend or holiday assignments/projects.

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.

Why do we embrace inclusion and diversity? For the Love of Health.

Our Values

We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.

Benefits

ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.

At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.

Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.

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For the Love of Health

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