Billing Representative

Job Requisition: REQ2677 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 supervision. Must be able to work in a stressful environment.Must be able to speak, read, write and follow instructions in English

Personal Protective Equipment: - Follows Standard Precautions using personal protective equipment as required.

Education: - High school diploma or GED required.