Billing Representative Revenue Cycle Management at Ascension in Remote

Summary: Ascension is a leading nonprofit Catholic health system committed to reimagining healthcare. The Billing Representative is responsible for determining and verifying insurance coverage, ensuring timely billing, and communicating with patients regarding their 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 - Consult with appropriate parties to resolve unbilled claims - Review recent accounts for proper billing practices and reimbursement Required Qualifications: - High School diploma equivalency OR 1 year of applicable cumulative job specific experience required - 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 - Consult with appropriate parties to resolve unbilled claims - Review recent accounts for proper billing practices and reimbursement Required Skills: Insurance Coverage Verification, Pre-authorization and Authorization, Billing Documentation, Claims Preparation, Medicare/Medicaid Billing, Claims Reconciliation Benefits: Paid time off (PTO), Various health insurance options & wellness plans, Retirement benefits including employer match plans, Long-term & short-term disability, Employee assistance programs (EAP), Parental leave & adoption assistance, Tuition reimbursement, Ways to give back to your community