Billing Representative Revenue Cycle Department

Summary: Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care, and connection. They are seeking a Billing Representative in the Revenue Cycle Management department to determine and verify insurance coverage, ensure timely billing, and communicate with patients regarding financial responsibilities. Responsibilities: - Determine and verify insurance coverage and coordination of benefits from all sources for assigned area. Ensure 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 - 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 - Consult with appropriate parties to resolve unbilled claims. Reviews recent accounts for proper billing practices and reimbursement Required Qualifications: - 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 Required Skills: Insurance Coverage Verification, Coordination of Benefits, Pre-authorization Authorization, Claims Preparation, Commercial Insurance Billing, Medicare Billing, Medicaid Billing, Claims Reconciliation, Documentation Maintenance Benefits: Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options, Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance, Time to recharge: pro-rated paid time off (PTO) and holidays, Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning, Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources, Family support: parental leave, adoption assistance and family benefits, Other benefits: optional legal and pet insurance, transportation savings and more