Credentialing and Enrollment Specialist (Specialist PFS Billing)
Location:
LOC_1300_MKT-Wanamaker Building
Req ID:
99244
Shift:
Days
Employment Status:
Regular - Full Time
Job Summary
Under direction, resolves complex payor issues, resolves high-dollar claims, performans credentialing and acts as liaison with internal coding.
Job Responsibilities
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
Required Licenses, Certifications, Registrations
HBI or CRCR Certified within six (6) months of placement into position.Required Education and Experience
Required Education:
High School Diploma/GED
Required
Experience:
Seven (7) years in Healthcare Payment Processing
Preferred Education, Experience & Cert/Lic
Preferred Education:
Bachelor s Degree
Preferred
Experience:
Eight (8) or more years experience in Healthcare Billing
Additional Technical Requirements
Excellent attention to detail, organized, computer skills, strong analytical skills Special Projects - Focus task, detail oriented, considered as Subject Matter Expert (SME)
All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.
Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees.
In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products.
Children's Hospital of Philadelphia is an equal opportunity employer.
We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.
VEVRAA Federal Contractor/Seeking priority referrals for protected veterans.
Please contact our hiring official with any referrals or questions.
CHOP Careers Contact
Talent Acquisition
2716 South Street, 6th Floor
Philadelphia, PA 19146
.
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
