Representative - Billing

Employment Type

: Full-Time

Industry

: Accounting



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We Are Hiring

Representative - Billing - Patient Accounting - FT Days 8:00AM-4:30PM Monday-Friday - Lourdes Business Center - Binghamton, NY

More Than a Job: Working for Ascension is more than just a job. It s a career where your talent and passion for delivering quality healthcare can make a difference for patients, team members, and the community.

Why Join Ascension?

Lourdes, based in Binghamton, New York, is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. The main hospital campus includes medical, surgical and specialty nursing units, an Ambulatory Care Center, Breast Care Center, a Regional Cancer Center and numerous specialty practices. Reaching beyond the main hospital campus, Lourdes has established a network of primary care providers at 12 convenient sites throughout the region; and the Lourdes at Home and Hospice programs which care for patients in their homes and various nursing facilities. Two mobile mammography vans, a dental van and a medical services van deliver health services out into the region, making health care more easily accessible to surrounding communities.

Lourdes is part of Ascension, a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all, especially to those most in need. In FY2018, Ascension provided nearly $2 billion in care of persons living in poverty and other community benefit programs.

What You Will Do

Your role as a Billing Representative is critical to the smooth operational function of the hospital. As our Billing Representative, YOU will work with both private and public insurance plan policies as you follow-up on claims, resolve denials, post payments and bill adjustments, appeal submissions, and manage collections.

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.

What You Will Need

Education & Work Experience:

  • High school diploma or GED preferred.
  • Billing knowledge required.
  • Insurance follow-up experience preferred.
  • Prefer 3 years of Healthcare billing and collections management.

Equal Employment Opportunity

As an equal opportunity employer, Our Lady of Lourdes Memorial Hospital (Lourdes) complies with all applicable employment laws and regulations. In order to provide equal employment opportunities to all individuals, employment decisions at Lourdes are based on merit, qualifications and abilities.

Lourdes does not discriminate based on race, color, religion, gender, disability, protected veteran status, sexual orientation, national origin, age, genetic information, marital status, amnesty, any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

Lourdes is an EEO/AA employer: M/F/Disabled/Vet.

For further information regarding your EEO rights, click on the following link to the EEO is the Law poster:

EEO is the Law Poster Supplement

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.


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