Physician Billing Representative-Payer Credentiali

at Christiana Care Health System in Newark, Delaware, United States

Job Description

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values ofLoveandExcellenceand are passionate about delivering health, not just health care. Come join us at ChristianaCare!

ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition.

Primary Function:
Responsible for all aspects of payer credentialing. Must be able to independently complete all payer credentialing and enrollment tasks. Responsible for researching and resolving credentialing/AR issues.
Will also be responsible for the provider/payer affiliations in the Soarian system. Responsible for other special projects as needed.

Principal Duties and Responsibilities:

Follow up with payers on submitted information

Continuously validate and update provider information with the payers

Work closely with other CCHS departments

Perform assigned work safely, adhering to established departmental safety rules and practices; reports to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitor

Performs other related duties as required

Education and Experience Requirements:

Associates degree preferred

3 years working in all aspects of payer credentialing

Knowledge of all aspects of payer credentialing

Knowledge of CAQH

Knowledge of Excel

Christianacare Offers:

Full Medical, Dental, Vision, Life Insurance, etc.

403(b) with company match

Generous paid time off

Incredible Work/Life benefits including annual membership to, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!

EEO Statement:

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.

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Job Posting: 1242856

Posted On: Feb 23, 2024

Updated On: Mar 02, 2024

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