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Job Details

Rep-Billing

Company name
athenahealth, Inc.

Location
Johnson City, NY, United States

Employment Type
Full-Time

Posted on
Nov 18, 2020

Valid Through
Mar 03, 2021

Apply for this job






Profile

We Are Hiring

Rep-Billing - Orthopedic Services at Lourdes - Full-Time, Days - Orthropedic 240 Riverside Drive - Johnson City,NY

Schedule: Monday - Friday: 8:00 am to 4:30 pm

Lourdes Orthopedics at 240 Riverside Drive in Binghamton has an exciting opportunity for a full-time Billing Rep to join our comprehensive team of experienced, board-certified orthopedic surgeons and staff. Our goal is to offer patients the most advanced medical and surgical treatments, specialized physician and nursing care and personalized therapy. Come join our team!

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.

Ascension is 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, with special attention to persons living in poverty and those most vulnerable. In FY2019, Ascension provided $2 billion in care of persons living in poverty and other community benefit programs.

Ascension includes more than 150,000 associates and 40,000 aligned providers. The national health system operates more than 2,600 sites of care – including 150 hospitals and more than 50 senior living facilities – in 20 states and the District of Columbia, while providing a variety of services including clinical and network services, venture capital investing, investment management, biomedical engineering, facilities management, risk management, and contracting through Ascension’s own group purchasing organization.

What You Will Do

As a Billing Rep Lourdes Hospital, you will have the opportunity to determine and verify 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.

What You Will Need

Education:

Diploma

High school diploma or GED preferred

Work Experience:

At least 1 year experience working in a clerical capacity in a busy physician office, preferably in a specialty office.

Medent and AS400 experience strongly preferred.

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:

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

EEO is the Law Poster Supplement

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/ofccpeeosupplementfinaljrfqa508c.pdf

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.

REQNUMBER: 437625-1A

Company info

athenahealth, Inc.
Website : http://www.athenahealth.com

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