• Job Description

  Req#: J233064

  Company :

  Allegheny Health Network

  Job Description :

  GENERAL OVERVIEW:

  This job monitors and coordinates technical lab billing issues. Assists with day to day operational oversight of billing department and ensures daily duties are completed per established guidelines.

  ESSENTIAL RESPONSIBILITIES:

  • Troubleshoots billing issues and takes appropriate actions. (35%)
  • Assists customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions. (25%)
  • Supervises work performed by billing staff. (10%)
  • Maintains current knowledge of federal and state reimbursement policies/regulations and system policies. Ensures compliance with regulatory requirements. (10%)
  • Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system. (10%)
  • Verifies insurance information via hospital and insurance carrier systems. (10%)
  • Performs all other duties as assigned, including but not limited to supporting front end office processes.

  QUALIFICATIONS:

  Minimum

  • High school diploma or GED.
  • Graduate of a medical billing program or equivalent experience.
  • 3-5 years’ experience in healthcare billing role.

  Preferred

  • Associate’s Degree.

  Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
  
  Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
  
  As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
  
  Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

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• About the company

  A national health and wellness organization as well as the second-largest integrated delivery and financing system in America.

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