Billing Associate - AHN Cancer Institute / Radiation Oncology - Forbes

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.
• Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges).
• Aids customers with patient billing inquiries.
• Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions.
• Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system.
• Verifies insurance information via hospital and insurance carrier systems. Ensures that electronic and paper claims are sent to insurance carriers in a timely manner.
• Maintains current knowledge of federal and state reimbursement policies/regulations and system policies pertaining to billing. Ensures compliance with regulatory requirements.
• Performs all other duties as assigned, including but not limited to supporting front end office processes.

Qualifications

• Minimum High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience.
• 1-3 years’ healthcare billing experience.
• Prioritize graduate of a medical billing program.
• Prioritize medical Records training and OASIS education.