Virtua Health is hiring a Billing & Contract Specialist to ensure accurate and timely processing of EMS and Transfer authorizations, billing, and records management. You will support patient care and organizational compliance by managing pre-certification, resolving denied claims, and auditing transportation invoices.
What You'll Do
- Prepare, verify, submit, register, and manage the pre-certification and/or prior authorization process for all applicable patient encounters.
- Directly manage denied claims working with insurance companies and the Patient Accounting Department.
- Review, audit, and reconcile EMS agency invoices and Medicaid trips, and prepare requisitions for payment.
- Review invoices from non-Virtua transportation agencies related to interhospital and discharge transport.
- Function as the Department 'Keeper of the Records' and interact with internal and external parties in the handling of all subpoenas and requests for medical records.
What We're Looking For
- 2-3 years of EMS registration coding and billing experience.
- 2-3 years of Insurance Authorization experience.
- Understanding of third-party reimbursement and methodologies for all third party payers, especially pre-certification and COB regulations.
- Working knowledge of MS Excel as well as various PBS related applications or demonstrated computer proficiency.
- High School Diploma required.
- Certified Heath Care Access Associate (CHAA) certification required within first year in position.
Technical Stack
- MS Excel
- PBS related applications
Team & Environment
Coordinates with Billing Manager, legal office, Accounts Payable, Purchasing, Hospital management, Case Management, Patient Accounting, internal HIM and legal staff.
Benefits & Compensation
- Compensation: $22.46 - $33.71 hourly
- Medical/prescription, dental, and vision insurance
- Health and dependent care flexible spending accounts
- 403(b) (401(k) subject to collective bargaining agreement)
- Paid time off
- Paid sick leave
- Short-term disability and optional long-term disability
- Colleague and dependent life insurance and supplemental life and AD&D insurance
- Tuition assistance
- Employee assistance program that includes free counseling sessions
Work Mode
This is a full-time, remote position open to candidates located in AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, and WV.
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