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Posted: Wednesday, February 7, 2018 9:24 AM

Req ID:15096
Shift: Days
Employment Status:AF : Active : Regular : Full Time
Job Summary 13;
The Billing Coordinator II is responsible for preparing and entering surgical and in:patient billing for the Division, ensuring the accuracy of outpatient billing and assisting with account reviews/account receivable / appeals follow up. The Billing Coordinator is responsible for all billing functions within the General, Thoracic and Fetal Surgery Division. This includes determination of insurance participation status for multiple billing entities, the precertification of services, ensuring the accuracy of daily outpatient and surgical billing, cash collected, and batch information. The candidate will use Epic work queues to submit billing charges and work coding edits and bundling issues. Responsible for verifying patient eligibility with insurance carriers as well as obtaining policy restriction information, authorizations and referrals for services from participating and nonparticipating insurance companies and out of state Medicaid. The Billing Coordinator will also counsel families regarding insurance coverage and obtaining appropriate referral information.
Job Responsibilities 13;
:Ensures timely and accurate release of all outpatient charges.
:Reviews Op Notes, inpatient consult notes, and abstracts/confirms Diagnosis and CPT Procedure codes for all surgeries and inpatient encounters and enters into billing system.
:Ensures pre:certifications/authorizations are valid for the procedure performed.
:Performs daily maintenance on divisional billing work:queues.
:Assists in finding resolutions to billing issues : rejections, non:paid accounts, etc.
:Communicates with families, assisting with billing/insurance questions and collecting surgical prepayments.
:Supports special projects assigned by Manager 13;
Required Licenses, Certifications, Registrations 13;
CPC : Certified Professional Coder 13;
Required Education and Experience 13;
Required Education: High School/GED
Required Experience: Three to five years of experience in health in health insurance reimbursement.
CPC Certification required. Candidates without certification will be considered, however, certification must be obtained within 6 months of hire date to remain in the position.
Additional Technical Requirements 13;
:Strong knowledge of specialty coding preferred.
:Knowledge of ICD10, third party procedures, and requirements regarding benefit structures, insurance verification, referrals and authorizations.
:Knowledge of general financial counseling required as well as understanding the revenue cycle.
:Excellent communication and interpersonal skills.
:Accuracy in data collection and data entry.
:Familiarity with Electronic Health Record.
:Basic application of computers and Microsoft Applications (i.e. Word and Excel).
:Ability to think critically, analyze data and identify trends.
All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.

Childrens Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Childrens Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products or nicotine in any form and a negative nicotine screen (the latter occurs after a job offer).

Childrens Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.

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• Location: South Jersey

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