Insurance Billing Technician II

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?


Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!


Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital

Status: Full Time 80 Hours

Shift: Days

SALARY RANGE: 18.27 - 27.40 HOURLY

General Summary:

Generate and submit professional claims to third-party payers and government agencies. Responsible for billing-related functions for Bayhealth claims, whether electronic or hard copy, in compliance with Federal and State regulations and established ANSI standards.

This role supports the revenue cycle accounts receivable team with assigned billing duties, including accounts receivable follow-up, eligibility verification, cash reconciliation, deposits, and correspondence-related activities. This is a key position for supporting work-from-home team members and assisting with daily duties assigned in Epic.

Responsibilities:

1. Maintain daily A/R functions and follow up effectively with responsible parties to resolve any outstanding claims issues and obtain payment.
2. Inform the responsible parties of any issues that create a loss of reimbursement, consistent errors, or other issues that create a barrier to accounts receivable resolution.
3. Correct claim errors and billing issues from assigned work queue(s).
4. Verifies insurance eligibility to correct claim errors and/or electronic rejections
5. Handle the cash and check deposits for all BMG office locations and reconcile and confirm all deposits and collection reports. This includes regular communication with office personnel, courier services, and security.
6. Print out all paper claims for the medical centers and hospitals. Also print out all third-party claims with notes/ attachments that correlate with the claims. Send out medical billing statements to lawyers or other parties with a prior HIPAA release form.
7. Fill out paperwork forms for CMS and submit correlating documents.
8. Index correspondence and other documents in Epic utilizing the Galaxy software
9. Alphabetize and scan credentialing documentation into a shared drive for the credentialing team.
10. Open and sort mail.
11. Mail out and document refund checks.
12. All other duties as assigned within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

• Education: High School Diploma or GED
  ;
• Credential(s): None Required
  ;
• Experience:
  Required: Three years of professional billing or collection experience in a medical office or healthcare setting.
  
  Preferred: Four years of professional billing or collection experience, or in a medical office or healthcare setting.

Preferred Education, Credential(s) and Experience:

• Education:
• Credential(s): Certified Revenue Cycle Representative
• Experience:

To view a full list of all open position at Bayhealth, please visit: