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Billing Representative

Ascension
Nashville, USA
Junior · 1+ years experience
Onsite
Discovered 5 days ago

Full Job Posting

Qualifications

  • Licensure / Certification / Registration:
  • Required Credential(s):
  • None Required.
  • 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.

Responsibilities

  • Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures.
  • Determines financial responsibility for services to be provided. Notifies patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.
  • Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.
  • Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.

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