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Hospital Billing Representative II
ChristianaCareHospital Billing Representative handling insurance accounts receivable at ChristianaCare. Managing claims, appeals, and direct interactions with insurance representatives in Wilmington, DE.
About the role
Key responsibilities & impact- Collection of insurance accounts receivable including reporting, analysis, disputes, appeals, and reconciliation of acute hospital/facility claims
- Reviews and submits UB-04 forms to insurance companies
- Performs follow-up with insurance representatives to obtain claim status, payment and to resolve claim discrepancies
- Submits itemized bills, medical records and corrected claims as needed
- Reviews payment vouchers to ensure proper reimbursement
- Interacts directly with department staff, Revenue Integrity, HIMS, and payer representatives to evaluate and resolve line level denials
- Provides trend analysis to management, leadership, and insurance liaisons
- Writes and submits appeals when claims deny incorrectly
- Works rejection and late charge reports
- Utilizes the Soarian/Cerner billing system for AR and denial reporting
- Utilizes ePremis for clean claim review and transmission
- Accesses external payer sites for payer policies and claim disputes
- Performs other related duties as required
Requirements
What you’ll need- High school graduate or equivalent required
- Associate’s Degree preferred
- 1-3 years of experience in A/R processes preferred, ideally 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
Benefits
Comp & perks- Health insurance
- Paid time off
- Retirement plans
- Employee assistance program
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
A/R ProcessesClaim AnalysisUB-04 Form SubmissionPayment Voucher ReviewTrend Analysis
Soft Skills
Strong Verbal CommunicationStrong Written CommunicationOrganizational SkillsMulti-Tasking AbilityTeam Collaboration