Billing Associate - AHN Radiation Oncology

Allegheny Health Network Job Posting

General Overview : 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 :

Preferred :

Disclaimer : The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

Pay Range Minimum : $19.00

Pay Range Maximum : $27.08

Base pay is determined by a variety of factors including a candidates 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.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.