What are the responsibilities and job description for the Billing Rep position at CommonSpirit Health?
CHI Health strives to care for you the way you care for your patients.
We understand you have personal responsibilities outside of your profession and also care about your well-being.
With you in mind, we offer the following benefits to support your work/life balance:
- Health/Dental/Vision Insurance
- Direct Primary Plan (No copay, no deductible, and access to CHI Health provider 24/7)
- Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care
- Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
- Employee Assistance Program (EAP) for you and your family
- Paid Time Off (PTO)
- Tuition Assistance for career growth and development
- Matching 401(k) and 457(b) Retirement Programs
- Adoption Assistance
- Wellness Programs
- Flexible spending accounts
At CHI Health Creighton University Medical Center - Bergan Mercy our focus is patient-centered care. Our level I trauma center and academic medical center campus is designed to heal the body mind and spirit of every person in a more comfortable less stressful hospital environment. Our full range of medical services includes trauma services heart and vascular care emergency services surgery maternity cancer care and diagnostic imaging.
Responsibilities
Job Summary / Purpose
This position contributes to the mission of CHI Health by ensuring medical and pharmacy benefits are accurately provided and billed as well as management of patient and physician accounts receivable. This position works collaboratively with purchasing, patient care, ancillary and pharmacy services to ensure appropriate and timely notices to patients.
Essential Key Job Responsibilities
- Communicate and discuss medical supplies/equipment needs with patients.
- Answer any medical billing questions for patients.
- Research insurance eligibility and coverage/benefits on patients and complete any necessary paperwork and/or submit clinical notes in a timely manner to ensure approval of claims.
- Maneuver billing software to make updates to patient, insurance and inventory records.
- Keep adequate records while adhering to HIPAA guidelines and regulations.
- Professionally communicate with other members of CHI team as well as with internal and external providers.
- Identify claims that have not been processed by either insurance or patient. After claim is identified take the next step in payment collection process.
- Other duties as assigned by management
Qualifications
Required Education (for CHI Leadership Job Levels from Supervisor through President) | Does Not Apply |
Required Education for Staff Job Levels | none |
Required Licensure and Certifications | None required |
Required Minimum Knowledge, Skills and Abilities | Ability to utilize computer processing in day to day activities; strong knowledge of applicable laws, regulations, guidelines and professional standards; good communication skills; strong teamwork skills; must demonstrate personal traits of a high level of motivation; professionalism; trust; and place a high value on treating others with dignity and respect. Proficient in Microsoft Office programs (Excel, Word, Outlook, etc). Knowledge of HCPC, ICD-10, HCFA a plus. Ability to perform non-complex mathematical calculations a must. |
PREFERRED Qualifications | High school diploma or GED. A minimum of two years medical supplies and/or billing experience is desirable. Understanding of medical terminology and disease processes are preferred. |
