Billing Rep, Physician Support Services

Details

• Department: Physician Support Services
• Schedule: Monday-Friday, Flex Hours
• Hospital: Ascension Medical Group, clinic
• Location: Remote
• Salary: $18.72 - $25.33 per hour

Preferred experience includes: 1+ years of physician billing experience, detailed oriented, OBGYN experience,denial management, software proficiency and insurance/payer knowledge. Benefits
Paid time off (PTO)
Various health insurance options & wellness plan
Retirement benefits including employer match plan
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.
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.

Requirements
Education:

• 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.

Additional Preferences
No additional preferences.
Why Join Our Team
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.
Equal Employment Opportunity Employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
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This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.
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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.

Qualifications
Education:

• 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.