Billing Associate - AHN Cancer Institute - Allegheny General Hospital
About The Position
This job processes pro-fee billing activities. It involves posting co-payments, patient payments, and insurance company payments (paper and electronic), as well as denials. The role also includes reconciliation of payments and preparation and deposit of received payments. Additionally, it requires using CPT, ICD-9, and payer-specific codes and modifiers to prepare and enter charges for office, hospital, and outpatient services. The Billing Associate will assist customers with patient billing inquiries, identify unpaid balances (insurance and patient) through A/R reports, and take appropriate actions. Obtaining and entering patient demographic, insurance, and referral/precertification information into the billing system is also a key responsibility. Verifying insurance information via hospital and insurance carrier systems and ensuring timely submission of electronic and paper claims to insurance carriers are crucial. The role also demands maintaining current knowledge of federal and state reimbursement policies/regulations and system policies pertaining to billing, ensuring compliance with regulatory requirements. The position may also involve supporting front-end office processes.
Requirements
- Minimum High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience.
- 1-3 years’ healthcare billing experience.
Nice To Haves
- Graduate of a medical billing program.
- Medical Records training and OASIS education.
Responsibilities
- Posts co-payments, patient payments, and insurance company payments (paper and electronic), and denials.
- Performs reconciliation of payments.
- Prepares and deposits payments received.
- Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges).
- Assists customers with patient billing inquiries.
- Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions.
- Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system.
- Verifies insurance information via hospital and insurance carrier systems.
- Ensures that electronic and paper claims are sent to insurance carriers in a timely manner.
- Maintains current knowledge of federal and state reimbursement policies/regulations and system policies pertaining to billing.
- Ensures compliance with regulatory requirements.
- Performs all other duties as assigned, including but not limited to supporting front end office processes.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
