Billing Rep

Ascension•Indianapolis, IN

17h•Onsite

About The Position

Ascension Medical Group, clinic is seeking a full-time Billing Rep for their Vascular Interventional Radiology and Vein Solutions department. The role involves confirming insurance eligibility, securing pre-authorizations, counseling patients and medical practitioners on financial responsibilities, preparing and processing claims, reconciling daily accounts, researching Medicare/Medicaid billing regulations, and maintaining meticulous documentation of all billing activities.

Requirements

High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Nice To Haves

Experience with prior authorization/precertification.
Experience working with procedural, testing and medication authorizations.
Ability to work both in a team and independently.
Ability to stay self-motivated to work through high volume requests.

Responsibilities

Confirmed insurance eligibility and secured required pre-authorizations for scheduled procedures, effectively mitigating financial risk and reducing potential claim denials.
Counseled patients and medical practitioners regarding insurance coverage, out-of-pocket responsibilities, and alternative options for unauthorized or non-covered services.
Prepared and processed clean claims for commercial, third-party, and government payers (Medicare/Medicaid), while managing daily reconciliation to ensure steady cash flow.
Researched and analyzed complex Medicare/Medicaid billing regulations, auditing recent accounts to ensure strict compliance with evolving reimbursement practices.
Maintained meticulous documentation of all billing activities within patient records and collaborated across departments to resolve unbilled claims and aging accounts.