At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. 
 
If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.

In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Location:

PACCT - 2000 Crawford Place

Remote Type:

On-Site

Employment Type:

Employee

Employment Classification:

Regular

Time Type:

Full time

Work Shift:

1st Shift (United States of America)

Total Weekly Hours:

40

Additional Locations:

Job Information:

Virtua is seeking a full-time Accounts Receivable Claims Representative.

Schedule:

Monday through Friday, 7:30am - 4:00pm or 8:00am - 4:30pm

Hybrid after successful 90-day orientation

Summary:

Responsible for accurate and timely billing and account collections.

Obtains required billing information / documentation (pre-certifications, codes, insurance information) and enters into database.

Identifies and resolves denied claims, escalating accounts as necessary to ensure timely payment of claims.

Assists customers with billing questions.

Prepares and maintains billing and related reports.

Position Responsibilities:

• Identifies items to be billed by procedure and services performed.

• Obtains necessary documentation for billing and obtains pre-certifications.

• Enters all charges and submits bills in accordance with Patient Accounting policy.

• Posts payments, performs daily reconciliations, produces daily census, and performs month end close.

• Maintains data in billing management system, i.e. updating current and adding new demographic information, and ensures that documentation entered is accurate and complete.

• Analyzes, identifies and trends billing issues to proactively reduce denials and variances.

• Works system generated reports such as residual balance, credits, no-pay.

• Reports and resolves variances and inefficiencies, escalating accounts as necessary to resolve billing issues.

• Interacts / communicates effectively with various department staff and assists customer service inquires both internally and externally: liaison with Patient Accounting and Physician billing services, employers and insurance carries to ensure accurate and timely billing process.

• Maintains open communication with management regarding billing and coding issues including documentation, denials/appeals, etc.

• Follows up on assigned insurances on a monthly basis and maintains records of declined claims requiring appeals.

Position Qualifications Required / Experience Required:

1-3 years experience in billing, collections, registration, or related hospital / office environment.

Must have fast, accurate data entry skills.

Good organizational skills and attention to details.

Must be able to work in a fast paced environment with excellent customer service and interpersonal skills.

PC literate with a working knowledge of Microsoft Office applications (Word, Excel, Access)

Required Education:

High School diploma or equivalent.

Hourly Rate: $19.54 - $29.20 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.

Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: 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 as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

For more benefits information click here.