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Full time (80 hours biweekly)

Monday-Friday 8:00am - 4:30pm

Remote capable - but requires onsite presence on certain days

General Summary

Performs a variety of duties to complete the billing and payment process for numerous clients including, but not limited to, account follow up, resolving problems and interacting with third party payers and patients to achieve payment of accounts in accordance with current government and payer regulations. Represents the System in a professional manner, using good customer service practices in the performance of all duties.

Duties and Responsibilities

Essential Functions:

+ Performs various functions to complete and expedite the billing process including, but not limited to, recording patient identification data and physician diagnosis, investigating charges, correcting and updating data, preparing the claim to bill, and updating computer functions.

+ Posts all payments and adjustments to the correct patient's account.

+ Processes rejections and invoice corrections, and rebills in a timely manner.

+ Initiates paperwork for refunds.

+ Resolves billing problems and/or receives insurance updates.

+ Makes written and/or verbal inquiries to offices or third party payers to reconcile patient accounts.

+ Processes and distributes HCFA 1500's and MA claim forms as required.

+ Reconciles reports at the end of the day.

Common Expectations:

+ Maintains appropriate records, reports, and files as required.

+ Maintains established policies and procedures, objectives, quality assessment and safety standards.

+ Participates in educational programs and inservice meetings.

+ Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

+ High School Diploma or GED Required

Work Experience:

+ 1 year Insurance billing experience. Required

Courses and Training:

+ Medical Terminology Upon Hire Required

Knowledge, Skills, and Abilities:

+ Excellent communication/interpersonal skills.

+ ICD9 & CPT coding.

+ Insurance knowledge.

+ Computer skills.

+ Typing 45-50 wpm.

+ 10 key calculator 90-100 kspm.

+ Must pass the bar assessment during the 90 day introductory period.

Benefits Offered:

+ Comprehensive health benefits

+ Flexible spending and health savings accounts

+ Retirement savings plan

+ Paid time off (PTO)

+ Short-term disability

+ Education assistance

+ Financial education and support, including DailyPay

+ Wellness and Wellbeing programs

+ Caregiver support via Wellthy

+ Childcare referral service via Wellthy

WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.