Michigan

Billing Representative - Lab Support Services

Job description          

We Are Hiring Rep-Billing - Lab Support Services 001 - Full-Time,Day - Ascension St John Mack Office Bldg-34028 - Grosse Pointe Woods,MI Flexible Start, Monday-Friday. Why Join Ascension? In Michigan, Ascension operates 15 hospitals and hundreds of related healthcare facilities that together employ over 200,000 associates. Across the state, Ascension Michigan is working together to help bring patients more resources and better care. Ascension Michigan is also committed to its community; it provided over $272 million in community benefit and care of persons living in poverty in FY2018. Ascension Michigan is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and 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, 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 As an associate with St. John Health-MI, you will have the opportunity to determine and verify insurance coverage and coordination of benefits from all sources for assigned area. Ensure proper adequate and timely billing to ensure prompt payment. Responsibilities: Confirm insurance coverage. Determine necessity for pre-authorization and obtains authorization for scheduled procedures. Determine 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. Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues. Maintain detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process. Prepare and complete claims for commercial insurance companies, third party organizations and/or government or self payers. Research, analyze and reconcile Medicare/Medicaid billing and reimbursement practices. Maintain detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process. Consult with appropriate parties to resolve unbilled claims. Review recent accounts for proper billing practices and reimbursement. What You Will Need Education: Diploma High school diploma or GED required Work Experience: None required.
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