Location: Philadelphia, PA
Company: Children's Hospital Of Philadelphia
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, resolves complex payor issues, resolves high-dollar claims, performs credentialing and acts as liaison with internal coding.
What you will do Subject matter expert, handles most complex issues, performs audits. Ensure accurate billing protocols, monitors pre and post denials. Ensures claims are processed timely through interaction with coding process teams. Ensures clean audit process. Provides excellent customer service Other duties as assigned Education Qualifications High School Diploma / GED Required Bachelor's Degree Preferred Experience Qualifications At least seven (7) years patient financial services experience. Required
At least eight (8) years in Healthcare Billing Preferred Skills and Abilities Excellent attention to detail, organized, computer skills, strong analytical skills Special Projects - Focus task, detail oriented, considered as Subject Matter Expert (SME) (Required proficiency) Licenses and Certifications Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association (HFMA) - within 6 months - Required Hospital Business Institute (HBI) Certification - Hospital Business Institute - within 6 months - Required or 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. EEO / VEVRAA Federal Contractor Tobacco Statement
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Other Jobs is a broad category encompassing the myriad of professions that don't neatly fit into traditional job classifications. They can range from gig economy roles to positions requiring highly specialized skills not commonly recognized in standard industry sectors. The key characteristic of Other Jobs is their diversity, with opportunities that can be tailored to unique talents, flexible schedules, and often innovative or unorthodox work environments. This category can serve as a flexible and creative employment avenue for those with niche skills or those seeking non-traditional career paths.
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