At Shire, we are proud and grateful to employ military veterans and thank them for their contributions to our company and our country. See where your military experience can play a role at Shire by using our military skills translator job search tool below:
At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations (https://www.virtua.org/locations) , we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.
Location:
PACCT - 2000 Crawford Place
Employment Type:
Employee
Employment Classification:
Regular
Time Type:
Full time
Work Shift:
1st Shift (United States of America)
Total Weekly Hours:
40
Additional Locations:
Job Information:
Summary:Responsible for accurate and timely billing and account collections.Obtains required denial or billing information / documentation (pre-certifications, codes, insurance information) and enters into database.Identifies and resolves denied claims, escalating accounts as necessary to ensure timely payment of claims.Assists customers with denial related questions.Prepares and maintains appeals for denials.Position Responsibilities:• Identifies items to be appealed according to WQ, and bucket scoring.• Obtains necessary documentation for properly appealing a denied claim.• Denial Management Team to process all assigned work queues. All denials will be processed in a timely manner based on work queue scoring and notated. High dollar denials are to be processed within 3 days, Direct denials within 7 days, and all remaining denials within the 30 day KPI (key performance indicator). Denials should be analyzed for trends as being worked with these trends being communicated to the Manager for root cause analysis.• Works system generated reports such as residual balance, credits, no-pay.• Reports and resolves variances and inefficiencies, escalating accounts as necessary to resolve billing issues.• Interacts / communicates effectively with various department staff and assists customer service inquires both internally and externally: liaison with Patient Accounting and Physician billing services, employers and insurance carries to ensure accurate and timely billing process.• Maintains open communication with management regarding issues including such as documentation, denials/appeals, etc. Billing• Follows up on assigned insurances on a monthly basis and maintains records of declined claims requiring appeals.Position Qualifications Required / Experience Required:1-3 years experience in billing, denials, follow up, collections, registration, or related hospital / office environment.
One year of Epic system experience highly preferred Must have fast, accurate data entry skills.Good organizational skills and attention to details.Must be able to work in a fast-paced environment with excellent customer service and interpersonal skills.PC literate with a working knowledge of Microsoft Office applications (Word, Excel, Access)Required Education:High School diploma or equivalent.