Billing Representative
About The Position
Determine and verify insurance coverage and coordination of benefits from all sources for assigned area. Ensures proper adequate and timely billing to ensure prompt payment. Confirm insurance coverage. Determine necessity for pre-authorization and obtains authorization for scheduled procedures. Determine financial responsibility for services to be provided. Notify patients and/or practitioners of any services requested and/or referred that are not authorized by insurance. Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues. Maintain detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process. Prepare and complete claims for commercial insurance companies, third party organizations and/or government or self payers. Research, analyze and reconcile Medicare/Medicaid billing and reimbursement practices. Maintain detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process. Consult with appropriate parties to resolve unbilled claims. Review recent accounts for proper billing practices and reimbursement.
Requirements
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
- Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
Responsibilities
- Determine and verify insurance coverage and coordination of benefits from all sources for assigned area.
- Ensures proper adequate and timely billing to ensure prompt payment.
- Confirm insurance coverage.
- Determine necessity for pre-authorization and obtains authorization for scheduled procedures.
- Determine financial responsibility for services to be provided.
- Notify patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.
- Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues.
- Maintain detailed documentation in the patient account record of all billing activities.
- Maintain documentation of claims processed as part of the daily claims reconciliation process.
- Prepare and complete claims for commercial insurance companies, third party organizations and/or government or self payers.
- Research, analyze and reconcile Medicare/Medicaid billing and reimbursement practices.
- Consult with appropriate parties to resolve unbilled claims.
- Review recent accounts for proper billing practices and reimbursement.
Benefits
- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
- Time to recharge: pro-rated paid time off (PTO) and holidays
- Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
- Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
- Family support: parental leave, adoption assistance and family benefits
- Other benefits: optional legal and pet insurance, transportation savings and more
- Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
