Reference #: 1007833SHIFT:Day (United States of America)

　　Seeking Breakthrough MakersChildren's Hospital of Philadelphia (CHOP) 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 InclusionCHOP 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 OverviewUnder direction, resolves complex payor issues, resolves high-dollar claims, performs credentialing and acts as liaison with internal coding.

　　What you will doSubject 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 serviceOther duties as assignedEducation QualificationsHigh School Diploma / GED  RequiredBachelor's Degree  Preferred  Experience QualificationsAt least seven (7) years patient financial services experience. RequiredAt least eight (8) years  in Healthcare Billing Preferred Skills and AbilitiesExcellent 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 CertificationsCertified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association (HFMA) - within 6 months - RequiredHospital Business Institute (HBI) Certification - Hospital Business Institute - within 6 months - Required orTo 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.Employees may request exemptions for valid religious and medical reasons.  Start dates may be delayed until candidates are immunized or exemption requests are reviewed.|

　　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.