HH
Company :
Allegheny Health NetworkJob Description :
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 s ...