Physician Billing Representative-Revenue Cycle

Christiana Care Health Services • Wilmington, DE

4d • Onsite

About The Position

Responsible for submitting all charges and follow-up on all third party balances. 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.

Requirements

• High school graduate or equivalent.
• 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.

Nice To Haves

• Associates Degree preferred.

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.

Benefits

• 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!
• health insurance
• paid time off
• retirement
• an employee assistance program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED