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Hospital Billing Representative II
ChristianaCare. Collect insurance accounts receivable for acute hospital/facility claims, including reporting, analysis, disputes, appeals, and reconciliation .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance accounts receivable processes, including claim submission, denial resolution, and trend analysis. Proficient in using Soarian and ePremis for billing and reporting within a hospital setting.
Highest-signal resume keywords
Insurance Accounts ReceivableClaim SubmissionSoarian ExperienceEPremis ExperienceHospital Billing Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryClaim AnalysisReconciliationUB-04 Form SubmissionPayment Voucher Review
Soft Skills
Strong Verbal CommunicationStrong Written CommunicationOrganizational SkillsAbility to Multi-taskJudgement and Tact
Tools & Technologies
SoarianEPremisPower ChartMicrosoft WordMicrosoft Excel
Industry Keywords
Hospital BillingReimbursement PoliciesClaim DiscrepanciesDenial ResolutionInsurance Liaison
About the role
Key responsibilities & impact- Collect insurance accounts receivable for acute hospital/facility claims, including reporting, analysis, disputes, appeals, and reconciliation
- Review and submit UB-04 forms to insurance companies
- Follow up with insurance representatives to obtain claim status and payment and resolve claim discrepancies
- Submit itemized bills, medical records, and corrected claims as needed
- Review payment vouchers to ensure proper reimbursement
- Interact with department staff, Revenue Integrity, HIMS, and payer representatives to evaluate and resolve line-level denials
- Provide trend analysis to management, leadership, and insurance liaisons
- Write and submit appeals for incorrectly denied claims
- Work rejection and late charge reports
- Use Soarian/Cerner for AR and denial reporting
- Use ePremis for clean claim review and transmission
- Access external payer sites for payer policies and claim disputes
- Perform other related duties as required
Requirements
What you’ll need- High school graduate or equivalent required
- Associate’s Degree preferred
- 1–3 years of experience in A/R processes preferred, ideally within a hospital billing setting
- Demonstrated strong verbal and written communication skills
- Strong organizational and communication skills
- Ability to multi-task, self-direct, work independently and with team and team leads
- Soarian, Power Chart, and ePremis experience preferred
- Data entry; Soarian and ePremis navigation
- Working knowledge of Microsoft applications, such as Word and Excel
- Knowledge of hospital billing and reimbursement policies and procedures
- Skill in written and oral communication
- Ability to act independently within established guidelines
- Ability to multitask, prioritize and manage high volume tasks
- Ability to exercise judgement and tact
Benefits
Comp & perks- Health insurance
- Paid time off
- Retirement
- Employee assistance program
- Competitive suite of employee benefits to maximize the wellness of you and your family