What are the responsibilities and job description for the Billing Representative- Family Medicine- Full Time position at Henry Ford Health System?
GENERAL SUMMARY
- Department: Family Medicine
- Schedule: Full-time Days: Monday - Friday
- Location: Southfield, MI
Determines and verifies insurance coverage and coordination of benefits from all sources for assigned area. Ensures proper adequate and timely billing to ensure prompt payment.
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.
EDUCATION/EXPERIENCE REQUIRED ·
- 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
- Organization: Henry Ford Ascension Medical Group MI
- Department: FM Deighton
- Shift: Day Job
- Union Code: Not Applicable
