Senior Billing Associate - Allegheny General Hospital - Full Time

Job ID: J113654
Company: Allegheny Clinic Medical Oncology
Location: Pittsburgh, PA, United States
Facility: Allegheny General Hospital
Full/Part Time: Full time
Job Type: Regular
Posted at:

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Description

GENERAL OVERVIEW:

Processes, coordinates, and oversees pro-fee billing activities for the practice(s).
 

ESSENTIAL RESPONSIBILITIES:

  • Posts co-payments, patient payments, and insurance company payments (paper and electronic), and denials. Performs reconciliation of payments. Prepares and deposits payments received. (20%)
  • Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges). (20%)
  • Assists customers with patient billing inquiries and takes appropriate actions. Addresses and resolves patient complaints. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions. (20%)
  • Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system. (10%)
  • Verifies insurance information via hospital and insurance carrier systems. Ensures that electronic and paper claims are sent to insurance carriers in a timely manner. (10%)
  • Oversees and provides technical feedback regarding work performed by billing associates. (10%)
  • Maintains current knowledge of federal and state reimbursement policies/regulations and system policies pertaining to physician practice billing. Ensures compliance with regulatory requirements. (10%)
  • Performs all other duties as assigned, including but not limited to supporting front end office processes.

QUALIFICATIONS:

Minimum

  • High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience.
  • 3-5 years’ experience in physician practice billing.

Preferred

  • Graduate of a medical billing program.
  • Medical Records training and OASIS education.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
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For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

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