CLAIMS SPECIALIST - CASUAL PART TIME - DAYS Details

CLAIMS SPECIALIST - CASUAL PART TIME - DAYS

Union Hospital of Cecil County - Elkton, MD

Employment Type : Full-Time

The Claims Specialist is responsible for the insurance follow up and verification that the
assigned payor has fulfilled benefits payable to ChristianaCare, Union Hospital.

Work Schedule:
Full time: Monday - Friday - Days, with attendance at special events as requested.
Potential for occasional weekend or holiday assignments/projects.

Essential Job Functions:

• Works in cooperation with the biller to ensure that the days on the hospitals accounts receivables remain

below the Maryland state average.

• Provides prompt follow up with payor to determine delays in payment reimbursement on patient

accounts over 60 days from date of bill.

• Contact the guarantor to advise of any delays and identifies his/her needs to assist
• Resolves all incoming mail and telephone inquiries assigned to payor
• Attends payor related training sessions required to gain additional knowledge
• Documents the Meditech system on the account level to record any communications with the payor or

patient.

• Provides attachment of the required documents to paper bills in order for the claim to be paid without

delay.

• Distributes paper claims according to payor and type of document to be attached.
• Cross trains with paper/electronic billing functions to provide coverage during

absences/vacations/vacancies etc.

• Handle refunds as necessary.

Education: High School Diploma or GED equivalent required. Some college course work preferred.

Licenses / Certifications: Certified Patient Account Technician (CPAT) preferred.

Experience: Minimum six months of billing or related experience preferred.

Qualifications

Skills

Behaviors

:

Motivations

:

Education

Required

High School or better.

Experience

Licenses & Certifications

Preferred

Cert. Patient Acct Tech