Capital Health (US) · 5 months ago
Med Office Billing Rep- Full Time- Lawrenceville
3131 Princeton Pike
Full-time
Onsite
Entry Level
$18.57/hr - $26.98/hr
1+ years expCapital Health is the region's leader in providing progressive, quality patient care. The Med Office Billing Rep is responsible for facilitating and obtaining payment from third party carriers and self-paying patients, performing collection activities, and ensuring timely billing processes are followed.
Health CareMedicalOncology
Responsibilities
Bills appropriate insurance company or patient according to insurance requirements. Bills remaining balances to secondary insurances or patients as appropriate
Posts payments to account upon receipt of explanation of benefits and files explanation of benefits statements according to departmental policy
Ensures that proper payment has been received according to contract and reports variances to supervisor
Adjusts account balances appropriately. Logs and notes accurately contract allowances, insurance write-offs, and courtesy discounts according to departmental policy
Documents and reports declinations of insurance payments to supervisor timely
Balances deposits for assigned accounts and deposits in bank according to departmental policy
Maintains current knowledge of payer requirements through insurance manuals, bulletins, memoranda, phone calls, and questions to supervisors
Demonstrates a comprehensive understanding of team functions and specialized terminology of third party payers. Completes proper documentation of all activity in patient or insurance accounts
Reviews all insurance information provided by supervisor to maintain current billing knowledge and documents and reports any discrepancies or declinations to supervisor
Completes the required amount of work within a given time frame with minimal oversight. Demonstrates a willingness to adapt to changing departmental demands as new billing duties are required. Completes special assignments and projects with minimal supervision and consistently meets targets. Performs duties quickly and accurately showing attention to details and is sufficiently organized to produce quality work
Maintains computer and paper departmental files and logs as directed
Forwards necessary documentation with bills as directed by payers, attorneys, and auditing companies according to departmental and CH policy
Answers patient and third party payer representative inquiries timely regarding accounts and completes proper documentation of all activity on each account. Answers inquiries by phone, mail, or in person in accordance with departmental standards for customer service
Qualification
Required
High school diploma or equivalency
One year related experience or training
Benefits
Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA)
Healthcare FSA
Dependent Care FSA
Retirement Savings and Investment Plan
Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
Disability Benefits – Long Term Disability (LTD)
Disability Benefits – Short Term Disability (STD)
Employee Assistance Program
Commuter Transit
Commuter Parking
Supplemental Life Insurance
Voluntary Life Spouse
Voluntary Life Employee
Voluntary Life Child
Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program
Company
Capital Health (US)
Capital Health is the region’s leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$1MKey Investors
Bank of America
2023-05-03Grant· $0.5M
2022-10-13Grant· $0.5M
Leadership Team
Arlene Walsh
Chief Operating Officer
Stephen Miller, JD
Sr. Vice President, Chief Legal Officer
Recent News
The Philadelphia Inquirer
2025-09-02
Company data provided by crunchbase