Hospital Billing Specialist, Full Time, Days (Medical, Insurance)
Location: Wilmington, Delaware
Description: Nemours is employing Hospital Billing Specialist, Full Time, Days (Medical, Insurance) right now, this job will be presented in Delaware. More complete informations about this job opportunity kindly read the description below. Nemours is seeking a Hospital Billing Specialist I to join our Business Office team in Delaware.
As one of the nation’s premier pediatric health care systems, Nemours provides world-class clinical care in four states: Delaware, Florida, New Jersey and Pennsylvania. Located in Wilmington, Delaware, the Nemours/Alfred I. duPont Hospital for Children offers intensive and acute inpatient and outpatient services covering more than 30 pediatric specialties. Ranked among the nation’s best in pediatric specialty care by U.S. News & World Report , this world-renowned teaching hospital has served children from 42 states and 14 nations. Extending the world-class care of the duPont Hospital for Children, the Nemours Children’s Clinic provides expert care for even more children across the Delaware Valley through community-based physician services and collaborative partnerships with health and hospital systems.
To keep pace with the changing health care environment and build a healthier future for our children, Nemours has embarked on a multi-phase expansion to create a children’s hospital like no other in the region. Upon completion in June 2014, the hospital will include private, family-centered, technologically advanced patient rooms, a new Pediatric Intensive Care Unit and a new expanded Emergency Department.
This position is responsible for performing assigned duties of a hospital billing specialist at AIDHC. Ensures “front end†hospital billing claim is complete and accurate according to regulatory guidelines. Works with insurance companies, charge capture departments, CDM Coordinator, Recovery Auditors, coding/billing integrity and Central Billing Office.
Reviews, monitors and completes hospital claims for all elements of the UBO4 billing form according to CMS and specific payer guidelines.
Reviews daily DNB (Discharged Not Final Billed) accounts within assigned work queue(s).
Works closely with Hospital Billing Coordinator and Central Billing Office to ensure all related charges errors are corrected and reported for needed process improvement.
Performs specialty billing for Medicare End Stage Renal Disease patients.
Works closely with Transport department and completes charge capture for Nemours Transport services.
Provides servicea to internal and external customers as a member of the hospital billing department.
Assists Recovery Audit staff with all claim submission inquiries and reimbursement explanation of benefit data.
Conducts research related to hospital billing issues using various types of information media: Internet, payer intranet, payer newsletters and/or manuals.
Provides support to scheduling and registration departments with patient coverage, eligibility and authorizations.
Works assigned claim edit workqueues correcting all errors and warnings to ensure first-time claim accuracy.
Requirements:
CPAT or CRCR within 12 months of start date.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Nemours.
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This job starts available on: Tue, 31 Jul 2012 16:51:41 GMT
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