What are the responsibilities and job description for the Billing Representative position at St. Mary's Healthcare?
Job Requisition: REQ3236
Employment Type: Full-Time * 2 positions
Shift: Days Hours: 8am-4:30pm
Hours Per Week: 40 hours
Hiring Range: $19.27-$25.77
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.
Salary : $19 - $26
