Malvern, Pennsylvania
Claims Specialist (Physician Billing) Job Opening in Malvern, Pennsylvania - Claims Specialist (Physician Billing)
A Promising New Day
A BOLD NEW DIRECTION FOR YOUR CAREER.
Set out on a journey of professional discovery with a newly formed team backed by the expansive resources of an industry leader. Use your skills, experience and talent to take us all in exciting new directions with Independence Physician Management (IPM) , as we open our new Center for Ongoing Revenue Cycle Excellence (CORE) in Malvern, Pennsylvania.
THE DAWN OF A DYNAMIC OPPORTUNITY.
Explore your potential with IPM , a subsidiary of UHS of Delaware, Inc. , one of the industry?s largest and best respected hospital-management corporations. We offer convenient managed services that include consulting, billing and collections, credentialing, audit services, and staffing assistance.
Do you share our dedication to service excellence?
Summary of job details:
The Claims Specialist is responsible for the accurate and timely resolution of professional billing claim and clearinghouse edits as well as payer rejections. This includes registration-based edits, claim requirement data edits (e.g. missing admission date), provider enrollment edits (e.g. missing NPI) and payer-specific edits. Meets or exceeds established performance targets (productivity and quality) established by the Billing Supervisor. Performs root cause analysis and identifies edit trends timely to minimize lag days, mitigate large volume claim submission delays and maximize opportunities to improve process and update the Practice Management System (PMS) logic as needed. Exercises good judgment in escalating identified root causes and edit trends to the Billing Supervisor, as needed, to ensure timely resolution and communication to stakeholders. Demonstrates the ability to be an effective team player. Upholds "best practices" in day to day processes and work flow standardization to drive maximum efficiencies across the team. Communicates effectively with IPM Coders to handle accurate and timely resolution of coding-based claim edits.
Job requirements:
Education: High School Graduate/GED required. Technical School/2 Years College/Associates Degree preferred.
Work experience: Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment.
Knowledge: Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, claim submission requirements. Understanding of the revenue cycle and how the various components work together preferred.
Skills: Excellent organization skills, attention to detail, research and problem solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Strong computer literacy skills including proficiency in Microsoft Office.
Equipment Operated: Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable.
To fulfill your vast potential please send your resume today!
Career Rewards
We reward excellence with competitive compensation and other career advantages. You may be eligible to choose from a comprehensive list of benefits to get those that best meet the needs of you and your family, including medical, dental, and vision plans, insurance and income protection, retirement and savings plans, and flexible spending accounts.
ABOUT
Independence Physician Management (IPM) was formed in 2012 as a separate and distinct physician practice management unit of Universal Health Services (UHS) . Operating as a subsidiary of UHS , with more than 140 locations nationwide, IPM is dedicated to the support and service of acute care facilities, with limited services to behavioral health. IPM ?s focus is on the acquisition, employment and recruitment of independent physicians. IPM provides expertise to support physician management and alignment models; provides leadership to physician practices relative to industry trends and business models; provides oversight for efficient operations to ensure quality care at a reasonable cost, and actively works to position organizations to navigate the dynamic health care environment.
It is the policy of Independence Physician Management to provide equal employment opportunity to all employees, prospective and current. IPM is committed to complying with all federal, state, and local laws and regulations relating to equal employment and non-discrimination matters for all protected classes of employees including race, religion, color, gender, sexual orientation, age, national origin, genetic information, ancestry, disability, pregnancy, marital status, and military status.
Job Type: Full-time
Job Location:
Malvern, PA
Required education:
High school or equivalent
Required experience:
physician billing: 3 years
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