Billing Associate - Nephrology - AGH - Full Time

Administrative Support Pittsburgh, Pennsylvania


Position at Allegheny Clinic

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