The Claims Specialist is responsible for the insurance follow up and verification that the assigned payor has fulfilled benefits payable to ChristianaCare, Union Hospital.
Work Schedule: Days, with attendance at special events as requested. Potential for occasional weekend or holiday assignments/projects.
Essential Job Functions: - Works in cooperation with the biller to ensure that the days on the hospitals accounts receivables remain below the Maryland state average. - Provides prompt follow up with payor to determine delays in payment reimbursement on patient accounts over 60 days from date of bill. - Contact the guarantor to advise of any delays and identifies his/her needs to assist. - Resolves all incoming mail and telephone inquiries assigned to payor - Attends payor related training sessions required to gain additional knowledge - Documents the Meditech system on the account level to record any communications with the payor or patient. - Provides attachment of the required documents to paper bills in order for the claim to be paid without delay. - Distributes paper claims according to payor and type of document to be attached. - Cross trains with paper/electronic billing functions to provide coverage during absences/vacations/vacancies etc. - Handle refunds as necessary.
Education: High School Diploma or GED equivalent required. Some college course work preferred.
Experience: Minimum six months of billing or related experience preferred.
Internal Number: JR58099
About ChristianaCare Health System
ChristianaCare Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are ...positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.