Capital Health

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. Comprised of two hospitals (our Regional Medical Center in Trenton and Capital Health Medical Center – Hopewell), our Hamilton outpatient facility, and various primary and specialty care practices across the region, Capital Health is a dynamic health care resource accredited by DNV GL - Healthcare.

A four-time Magnet®-recognized health system for nursing excellence, Capital Health serves as a Level II regional trauma center, comprehensive stroke center, regional perinatal center (including a Level III NICU), and emergency mental health screening center. We also offer the region’s first and most experienced Pediatric Emergency Department and most recently, New Jersey’s first Autism-Friendly Pediatric Emergency Department. Capital Health takes great pride in our innovative programs such as our Capital Institute for Neurosciences; nationally accredited Center for Comprehensive Breast Care; Center for Digestive Health; Marjorie G. Ernest Joint Replacement Center of Excellence; award-winning Cancer Center; and our Heart & Vascular Institute, which includes the region’s first accredited Chest Pain Center.

Oct 28, 2021
Full Time
$18.14 - $22.88 hourly
Capital Health Lawrenceville, Lawrence Township, NJ, USA
Join our growing Patient Accounts team at Capital Health! In this role, you'll analyze all patient accounts denied of correct payment by Managed Care Payors & work with proper departments to ensure payments and collections of money owed to Capital Health.  ESSENTIAL FUNCTIONS Instructs and assists co-workers to identify and organize data relating to incorrect payments or denials for reconciliation and appeals. Frequently receives, provides, clarifies or exchanges information with Managers/Directors within department. Has frequent interaction with Case Management, Quality Resource Management, Patient Access, and Patient Accounts. Coordinates and attends denial work sessions with other hospital departments directly involved with denials process. Utilizes Denial Management software to monitor and review monthly trends prior to report distribution. Downloads and manipulates excel spreadsheets from Denial Management software to be distributed to various CH departments...
Oct 28, 2021
Full Time
$18.14 - $22.88 hourly
Capital Health Lawrenceville, Lawrence Township, NJ, USA
Join our growing team in ensuring responsibility for all aspects of both electronic and hard copy claim submissions! ESSENTIAL FUNCTIONS Ensures responsibility to download claims from HBOC and upload claims to Gaffey on a daily basis. Analyzes claims for errors and correct claims prior to submission. Works closely with other departments to make corrections and ensures accuracy for the day's work. Researches all utilization review claims for accuracy prior to billing on a timely basis. Analyzes accurately the hold report to release all possible claims. Processes the monthly renal dialysis billing within guidelines on a timely basis. Reports any trends and anomalies to Patient Accounts Supervisor and Patient Accounts Manager in a timely manner. Works with all primary billing reports (including but not limited to: Late Charge report, 72 hour report, NEIC report, etc) to ensure claims are billed timely and accurately. Performs other duties as assigned and adapts...
Oct 28, 2021
Full Time
$18.14 - $22.18 hourly
Capital Health Lawrenceville, Lawrence Township, NJ, USA
Join our Patient Accounts team and perform billing, follow-up, administrative support, and customer service within a growing hospital! ESSENTIAL FUNCTIONS Reviews appropriate documents. Elicits information and follows appropriate federal, state, third party and departmental guidelines to prepare bills to carriers. Gathers and communicates information from third party payers and patients to expedite payment on outstanding accounts. Stays current with the latest updates for third party, collection, and bad-debt regulations by reading bulletins and other memoranda. Participates in annual training sessions as required. Operates computer software efficiently to complete required billing and follow-up tasks. Sets goals to resolve any outstanding issues with third party representatives. Evaluates, reviews, and analyzes patient accounts to determine if correct third party payments have been received and recorded. Prioritizes and updates files and other required...
Oct 28, 2021
Full Time
Capital Health Lawrenceville, Lawrence Township, NJ, USA
Under the direction of Revenue Cycle Analyst, responsible for analysis, coordination, monitoring, education and support as it relates to originating process factors which lead to denials and over/underpayments. Focuses on resolution of operational practices leading to non- optimal trends in initial claim submission and payment patterns. Performs root cause analysis behind denial patterns and identifies improvement opportunities to Revenue Cycle leaders. Facilitates process standardization to promote improved outcomes, maximize resource utilization, and improve organizational efficiencies. Serves as a subject matter expert to the Patient Accounts leadership team. ESSENTIAL FUNCTIONS Reviews and summarizes trend analyses from denial software system reports, identifies and develops program components to mitigate identified anomalies within the data. Provides ongoing evaluation and assessment of hospital practices and industry changes to ensure the enterprise remains current...