Billing Associate - Nephrology - AGH - Full Time
Job Number: 54900
Location: Allegheny General Hospital
Department: Nephrology
Status: Full Time
NON Union
Job Summary:
- Processes pro-fee billing activities.
- Performs reconciliation of payments. Prepares and deposits payments received.
- Uses CPT, ICD-10, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, outpatient and Dialysis charges).
- Assists customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions.
- Obtains and enters patient demographic, insurance, and referral/pre certification information in the billing system.
- Verifies insurance information via hospital and insurance carrier systems. Ensures that electronic and paper claims are sent to insurance carriers in a timely manner.
- Maintains current knowledge of federal and state reimbursement policies/regulations and system policies pertaining to billing. Ensures compliance with regulatory requirements.
- Performs all other duties as assigned, including but not limited to supporting front end office processes.
- Will need to work with the Finance department to resolve denials, appeals and documentation requests.
Job Requirements:
- Graduate of a medical billing program preferred.
- 1 year of experience in healthcare billing preferred.
- Requires critical thinking skills, decisive judgment, and ability to work with minimal supervision