Claims Processor

OVERVIEW

Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training. With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job. You’ll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention. We look forward to being a part of your professional journey. We invite you to apply today.

SUMMARY OF JOB

Reviews and ensures the timely and accurate daily submission of claims for all Hospital services to insurance payers. Reviews and corrects claim edits identified by Hospital EHR and claim clearinghouse submission editor. Coordinates the resolution of claim errors with the appropriate ancillary department and ensures the timely resolution for reimbursement of services. Responsible to reconcile daily import, acceptance and rejection reports and collaborates with Billing Manager on all issues causing claim delays and achieving the HRHS CBO clean claims targets established by Senior Leadership. Responsible to meet daily/weekly productivity and quality reasonable work expectations. Collaborates with Health System departments to achieve the HRHS CBO key performance metric targets established by Senior Leadership

CONNECTING TO MISSION

All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship and Collaboration are present in our interactions with one another and in the services we provide. The Corporate Finance Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting and healing for all in need.

RECRUITMENT REQUIREMENTS

• H.S. diploma/ GED.
• 2 years experience in medical billing or healthcare accounts receivable experience; medical billing coursework may be substituted for prior experience.
• Knowledge of third party payer contracting language and reimbursement terms.
• Knowledge of medical terminology, ICD10, CPT, and HCPC coding. Certified coding certificate preferred.
• Familiar with multiple (widely used) healthcare patient accounting/billing systems.
• Proficiency with Excel, MS Office, Internet Explorer, and Database Management application software.
• Ability to communicate in English, both written and verbal. Additional Languages are preferred.
• Ability to handle multiple tasks and accurately process high volumes of work
• Ability to establish and maintain effective working relationships with patients, employees and the public
• Strong organizational and time management skills.
• Assertive in resolving unpaid claims

EQUAL OPPORTUNITY

Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.

Reviews and ensures the timely and accurate daily submission of claims for all Hospital services to insurance payers. Reviews and corrects claim edits identified by Hospital EHR and claim clearinghouse submission editor. Coordinates the resolution of claim errors with the appropriate ancillary department and ensures the timely resolution for reimbursement of services. Responsible to reconcile daily import, acceptance and rejection reports and collaborates with Billing Manager on all issues causing claim delays and achieving the HRHS CBO clean claims targets established by Senior Leadership. Responsible to meet daily/weekly productivity and quality reasonable work expectations. Collaborates with Health System departments to achieve the HRHS CBO key performance metric targets established by Senior Leadership

CONNECTING TO MISSION

All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship and Collaboration are present in our interactions with one another and in the services we provide. The Corporate Finance Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting and healing for all in need.

• H.S. diploma/ GED.
• 2 years experience in medical billing or healthcare accounts receivable experience; medical billing coursework may be substituted for prior experience.
• Knowledge of third party payer contracting language and reimbursement terms.
• Knowledge of medical terminology, ICD10, CPT, and HCPC coding. Certified coding certificate preferred.
• Familiar with multiple (widely used) healthcare patient accounting/billing systems.
• Proficiency with Excel, MS Office, Internet Explorer, and Database Management application software.
• Ability to communicate in English, both written and verbal. Additional Languages are preferred.
• Ability to handle multiple tasks and accurately process high volumes of work
• Ability to establish and maintain effective working relationships with patients, employees and the public
• Strong organizational and time management skills.
• Assertive in resolving unpaid claims