Allegheny Health Network Careers

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