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Billing Representative - Revenue Cycle

Billing Representative - Revenue Cycle

AscensionAustin, TX, United States
15 hours ago
Job type
  • Full-time
Job description

Details

  • Department : Revenue Cycle
  • Schedule : Monday - Friday 8 : 00a - 5 : 00p
  • Facility : Seton Administrative Offices
  • Location : 1345 Philomena Austin, Texas

Benefits

Paid time off (PTO)

Various health insurance options & wellness plan

Retirement benefits including employer match plan

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Responsibilities

Determine and verify insurance coverage and coordination of benefits from all sources for assigned area. Ensure proper adequate and timely billing to ensure prompt payment.

  • 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. Reviews recent accounts for proper billing practices and reimbursement.
  • Requirements

    Education :

  • 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.

    Additional Preferences

  • Insurance Experience Required
  • Why Join Our Team

    Ascension Seton, based in Austin, Texas, has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell Children's Medical Center. Join us and create a career path you will love.

    Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

    Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

    Equal Employment Opportunity Employer

    Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex / gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

    For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

    As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

    Pay Non-Discrimination Notice

    Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

    This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

    Responsibilities

    Determine and verify insurance coverage and coordination of benefits from all sources for assigned area. Ensure proper adequate and timely billing to ensure prompt payment.

  • 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. Reviews recent accounts for proper billing practices and reimbursement.
  • Qualifications

    Education :

  • 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.

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    Revenue Cycle Representative • Austin, TX, United States

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