Address
Form of work
SalaryJob Requisition: REQ2559
Employment Type: Full-Time
Shift: Days Hours: 8am-4:30pm
Hours Per Week: 40 hours
Hiring Range: $19.08-$25.52
** HYBRID REMOTE OPTIONAL**
The actual compensation for this position will be determined based on experience and other factors permitted by law.
Responsibilities:
- Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures.
- Determines financial responsibility for services to be provided. Notifies patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.
- Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.
- Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.
- Prepares and completes claims for commercial insurance companies, third party organizations and/or government or self payers.
- Researches, analyzes and reconciles Medicare/Medicaid billing and reimbursement practices.
- Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.
- Consults with appropriate parties to resolve unbilled claims. Reviews recent accounts for proper billing practices and reimbursement.
Complexity of Work:
- Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal
Personal Protective Equipment:
- Follows Standard Precautions using personal protective equipment as required.
Education:
- High school diploma or GED required.
