Billing Representative

Ascension•Indianapolis, IN

5d•$20 - $27•Onsite

About The Position

This team works A/R for our provider charges that consist of multiple specialities. The Billing Representative will investigate and resolve claim rejections, denials, and system edits immediately to minimize payment delays and keep our billing cycle running efficiently. They will review patient charts to draft compelling clinical appeals and requests for reconsideration, utilizing knowledge of CPT and diagnosis (DX) codes to overturn payer denials. The role involves researching and interpreting complex payer policies to ensure billing practices align with shifting insurance guidelines and to prevent future denials. Additionally, the representative will secure prior authorizations and verify insurance coverage proactively, ensuring patients experience zero delays in receiving their scheduled medical procedures. They will also counsel patients and providers on financial responsibilities and insurance limitations, providing clear, empathetic guidance to help them navigate out-of-pocket costs with confidence.

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

Knowledge of CPT and diagnosis (DX) codes

Responsibilities

Investigate and resolve claim rejections, denials, and system edits immediately to minimize payment delays and keep our billing cycle running efficiently.
Review patient charts to draft compelling clinical appeals and requests for reconsideration, utilizing your knowledge of CPT and diagnosis (DX) codes to overturn payer denials.
Research and interpret complex payer policies to ensure our billing practices align with shifting insurance guidelines and to prevent future denials before they happen.
Secure prior authorizations and verify insurance coverage proactively, ensuring patients experience zero delays in receiving their scheduled medical procedures.
Counsel patients and providers on financial responsibilities and insurance limitations, providing clear, empathetic guidance to help them navigate out-of-pocket costs with confidence.