Rep-Billing

Ascension Health • Buda, TX

26d • 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.

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

• 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.

Benefits

• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement
• Ways to give back to your community
• Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees