Allegheny Health Network
This job processes pro-fee billing activities.
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. (25%)
- 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. Identifies unpaid balances (insurance and patient) through A / R reports and takes appropriate actions. (25%)
- 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%)
- Maintains current knowledge of federal and state reimbursement policies / regulations and system policies pertaining to 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.1-3 years' healthcare billing experience.Preferred
Graduate of a medical billing program.Medical Records training and OASIS education.Pay Range Minimum : $19.00
Pay Range Maximum : $27.08
Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
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