Billing Representative-Cardiovascular- Full Time
Henry Ford Health St. John Hospital
Detroit, Michigan
Full-time | Remote
Work facility: Not Specified
Job Description
Schedule: Monday-Friday day shift-100% remote
Determines and verifies insurance coverage and coordination of benefits from all sources for assigned area. Ensures proper adequate and timely billing to ensure prompt payment.
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.
- Prepares and completes claims for commercial insurance companies, third party organizations and/or government or self payers.
- Researches, analyzes and reconciles Medicare/Medicaid billing and reimbursement practices.
- 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.
- Consults with appropriate parties to resolve unbilled claims.
- Reviews recent accounts for proper billing practices and reimbursement.
EDUCATION/EXPERIENCE REQUIRED
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
- Medical billing experience preferred
Additional Information
- Organization: Henry Ford Health St. John Hospital
- Shift: Day Job
- Union Code: Not Applicable