Billing Specialist I

The Billing Specialist for the Business Office serves as the primary point of contact for all in-house facility and outside facility registration of patient demographics and insurance information and verification. This position performs the assigned essential functions accurately and timely as well as provides excellent customer service to both internal and external customers.

Primary Responsibilities:

• Register off-site inpatient and outpatient demographics as assigned by accurately entering patient demographic, guarantor and coverage information into the Professional Billing computer package.
• Work well with DAG team to obtain necessary coverage and/or authorizations.
• Run reports and pull data from partner facility for any patients receiving services outside of clinic.
• Data entry of charges into the Professional Billing computer package as assigned following Charge entry workflow and Standard Business Practice for Reconciliation of Charge Batches.
• Prepare claims accurately by adhering to all CMS and specific insurance guidelines.
• Work assigned work queues correcting all errors and warnings as appropriate.
• Provide feedback as appropriate regarding billing education or issues.
• Interact with coworkers and clinic staff in a productive and cooperative manner.
• Keep abreast of all insurance and system changes/updates.

Qualifications:

• High School Diploma required.
• Minimum of one (1) year experience in billing, preferably in a physician's office/hospital or with a health insurance company.
• Customer service experience preferred.
• Proficient in health insurance knowledge including benefit verification and understanding of plan requirements for accurate claim filing.
• Excellent computer skills and ability to navigate the Internet.
• Demonstrate ability to organize and prioritize responsibilities.
• Demonstrate positive attitude and ability to get along with others.
• Excellent attendance and reliability to effectively complete all duties in a timely manner.

About Us

Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.

As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.

Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.

To learn more about Nemours Children's and how we go well beyond medicine, visit us at .