As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
This position is responsible for accurately reviewing and correcting charges found in multiple work queues. Biller will enter demographic, insurance, billing and claim information into the EPIC billing system in a timely manner. While providing service to internal and external customers as a member of the Business Services team, this position also serves as a resource to other Billers, Billing Liaisons and CBO. When needed, this position assists in training and mentoring new employees in the Biller position.
Verify insurance coverage for all registrations completed by Business Services
Work assigned work queues correcting all errors and warnings appropriately.
Perform data entry of charges into EPIC as assigned following Charge Entry and Standard Business Practice workflows for reconciliation of charge batches.
Review special reports for reconciliation of billed charges.
Review charge sessions for authorization and referral information; maintain a working knowledge of authorization and pre-certification process
Modify, update and develop written procedures for billing processes in conjunction with the Billing Supervisor.
Keep abreast of all insurance and system changes including Payor Plan Stan, Just in Time Learning, News to Use, etc.
Work reports to make appropriate system changes such as demographics, guarantor and insurance information.
Work with supervisor on any billing problems or updates.
Assist in other office duties in times of staffing shortages or unexpected increases in work volume
Participate in departmental meetings
Assist with special projects when needed
Cross train with coworkers within department to assist with duties if necessary
Review and reference educational material and communications
Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve
High School Diploma or equivalent required
Knowledge of Insurance Plans and patient registration processes are required. EPIC knowledge is preferred
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.
Nemours is committed to improving the health of children. As a non-profit children’s health organization, we consider the health of every child to be a sacred trust. Through family-centered care in our children’s hospitals and clinics in Delaware, New Jersey, Pennsylvania and Florida, as well as world-changing research, education and advocacy, Nemours fulfills the promise of a healthier tomorrow for all children — even those who may never enter our doors. Nemours began more than 70 years ago with the vision of Alfred I. duPont to improve the lives of children and to do whatever it takes to prevent and treat even the most disabling childhood conditions. Today, through our children’s hospitals and health system, we directly care for 250,000 children annually in Delaware Valley and Florida, including families who travel from across the country and world to see our specialists — treating every child as we would our own. We also reach beyond the walls of our hospitals and clinics to be a voice for children on a national and international level, and to lead the way in prevention, intervention, education, and research. Nemours is growing to better serve the children and families in our ca...re. We have 1.1 million square feet of space currently devoted to providing children’s healthcare or under construction, all designed with significant input and advice from our patients and families.