Billing Rep

Details

• Department: Office Operations
• Schedule: Full-time, Day Shift
• Facility: Carroll Manor
• Location: Washington, D.C.
• Salary: $19.11 - $25.85 per hour

Benefits

Responsibilities

• Confirm insurance coverage. Determine necessity for pre-authorization and obtains authorization for scheduled procedures.
• Determine financial responsibility for services to be provided.
• Notify 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.
• Maintain 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.

Requirements

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
  • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Additional Preferences

Why Join Our Team

Equal Employment Opportunity Employer

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