
Billing Representative
- Evansville, IN
- Permanent
- Part-time
- Department: Peds Specialty
- Schedule: Part Time, Days, Monday-Friday, 20 hours per week
- Facility: Peyton Manning Center for Children
- Location: Evansville, IN
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your communityBenefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.ResponsibilitiesDetermine and verify insurance coverage and coordination of benefits from all sources forassigned area. Ensure proper adequate and timely billing to ensure prompt payment.Responsibilities:
- Confirm insurance coverage. Determine necessity for pre-authorization and obtain authorization for scheduled procedures.
- Determine financial responsibility for services to be provided. Notify patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.
- Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues.
- Maintain detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process.
- Prepare and complete claims for commercial insurance companies, third party organizations and/or government or self payers.
- Research, analyze and reconcile Medicare/Medicaid billing and reimbursement practices.
- Maintain detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process.
- Consult with appropriate parties to resolve unbilled claims. Review recent accounts for proper billing practices and reimbursement.
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
- Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.