Home Care PFS Billing Representative in PA

Summary

Home Care PFS Billing Representative

Children »s Hospital of Philadelphia Posted on 2022-11-18

Salary	Not mentioned
Location	Philadelphia, PA 19104 (University City area)
Type	Full-time

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Job Description

Location: LOC_HOME-Home/Remote Office Location

Req ID: 218279

Shift: Days

Employment Status: Regular – Full Time

Seeking Breakthrough Makers

Children’s Hospital of Philadelphia (CHOP)—named America’s 2022 Best Large Employer by Forbes—offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; 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.

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

Previous health care billing experience preferred. 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, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, professionals working onsite—at any CHOP location, for any portion of time—must be vaccinated for COVID-19. Learn more.

CHOP also requires employees who work in patient care buildings to receive an annual influenza vaccine. 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

Company description:

At Children »s Hospital of Philadelphia (CHOP), we help children grow and thrive — and we offer these same opportunities to the professionals who make up our team. CHOP is a unique work environment, with exceptional team members, supportive managers and state-of-the-art training. Our employees are all empowered to realize their well-defined goals, because we believe everyone makes a difference — it’s the very foundation on which our hospital is built. Since 1855, CHOP has been the birthplace of many dramatic firsts in pediatric medicine. As the nation »s first hospital devoted exclusively to caring for children, CHOP has fostered medical discoveries and innovations that have improved pediatric healthcare and saved the lives of countless children. Today, that same spirit of care and innovation continues. The hospital now employs more than 10,000 people in more than 50 locations across Pennsylvania and New Jersey.