Rep-Billing

Ascension

3d•Remote

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 obtain 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. Ascension St. Vincent in Indiana has been providing rewarding careers in healthcare for over 148 years. With 24 hospitals throughout the greater Indianapolis and Evansville areas, Ascension St. Vincent offers careers in a wide range of services including acute and long-term care, bariatrics, cancer care, cardiovascular services, emergency services, neuroscience, orthopedics, pediatric services, primary and urgent care, women's health services and more. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

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.

Nice To Haves

No additional preferences.

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 obtain 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.