Location: LOC_HOME-Home/Remote Office Location
Req ID: 173311
Shift: Days
Employment Status: Regular – Full Time
About Us
We’re seeking breakthrough makers! Children’s Hospital of Philadelphia was built on the belief that we can change lives. Today, in every role throughout our hospital, research institute and care network, the 22,000 members of our workforce are finding new ways – big and small – to make a difference for the patients and families we serve.
If you are ready to challenge yourself, be inspired and grow – no matter what your role – you just may be the kind of breakthrough maker who will thrive at CHOP.
CHOP is proud to share that we are ranked No. 1 on Forbes’ 2022 list of America’s Best Large Employers!
Job Summary
The primary focus of the billing representative is to accurately process charges according to payor specific contracts in accordance with CHOP, CHHC policy and all regulatory and accrediting agency guidelines. Work with interdisciplinary team to ensure that all documentation required to generate claims has been obtained prior to submission.
Job Responsibilities
Accurately post, edit and generate all claims for Home Care services.
Review hold reports to ensure that services are billed for timely, accurately and hold edits are completed.
Ensure all documentation necessary for accurate billing is obtained.
Verifies that all the proper coding and charge information is entered in the system according to payor specific contracts following regulatory guidelines.
Assist in obtaining/maintaining department’s cash goals.
Perform all reimbursement functions in accordance with CHOP, CHHC policy and regulatory and accrediting agency guidelines.
Perform other duties as assigned by management.
Job Responsibilities (Continued)
Job Responsibilities (Continued)
Required Licenses, Certifications, Registrations
None
Required Education and Experience
High School Graduate and/or equivalent GED.
Preferred Education, Experience & Cert/Lic
Previous health care billing experience preferred.
Additional Technical Requirements
- Strong verbal, communications and organizational skills
- Basic application and computer skills
- Strong data entry skills
Strong interpersonal and customer service skills.
To carry out its mission, it is of critical importance for the Children’s Hospital of Philadelphia (CHOP) to keep our patients, families and workforce safe and healthy and to support the health of our global community. In keeping with this, CHOP has mandated all workforce members on site at any CHOP location for any portion of their time be vaccinated for COVID-19 as a condition of employment. This mandate also applies to workforce members performing work for CHOP at non-CHOP locations. Additionally, all workforce members based in or regularly scheduled to work at any New Jersey location are mandated to be both vaccinated and boosted for COVID-19, with booster timing consistent with applicable guidelines. The CHOP COVID-19 vaccine mandate is in alignment with applicable local, state and federal mandates. CHOP also requires all workforce members who work in patient care buildings or who provide patient care to receive an annual influenza vaccine. Employees may request exemption consideration for CHOP vaccine requirements for valid religious and medical reasons. Please note start dates may be delayed until candidates are fully immunized or valid exemption requests are reviewed. In addition, candidates other than those in positions with regularly scheduled hours in New Jersey, must attest to not using tobacco products.
EEO / VEVRAA Federal Contractor
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Children’s Hospital of Philadelphia
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