Associate III PFS Billing

SHIFT:

Day (United States of America)

Seeking Breakthrough Makers
Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.
At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.
CHOP’s Commitment to Diversity, Equity, and Inclusion
CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.
We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.
A Brief Overview
Under direction, independently submits bills with complex payor requirements to insurance carriers and supports PFS credentialing activities.
What you will do

• Promptly and accurately follows up on billing denials/CCI Edits; utilizes various tools including websites, payors fatal edit documents and internal denial analytics reports to perform duties; handles all billing duties related to resubmission of claims
• Meets production and quality requirements
• Provides excellent customer service
• Other duties as assigned

Education Qualifications

• High School Diploma / GED Required
• Bachelor's Degree Preferred

Experience Qualifications

• At least five (5) years experience in Healthcare Billing Required
• At least six (6) years in Healthcare Billing Preferred

Skills and Abilities

• Excellent attention to detail, organized and computer skills, professionalism. Good working knowledge of third party insurance and public assistance programs.

Licenses and Certifications

• Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association (HFMA) - within 6 months - Required or
• Hospital Business Institute (HBI) Certification - Hospital Business Institute - within 6 months - Required

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more.
Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.
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