Billing Associate - Neurosurgery - Washington - FT

Allegheny Health Network; Washington (Washington County); On-site; USD 35,000 - 50,000; Full time

Job summary

Allegheny Health Network is looking for a billing specialist responsible for processing pro-fee billing activities. You will manage patient payments, perform reconciliations, and assist customers with inquiries. The position requires a high school diploma and healthcare billing experience.

This role involves verifying insurance information, entering patient data into the billing system, and ensuring compliance with regulations. Join us in delivering excellent billing services to our patients in a supportive environment.

Qualifications

• High school diploma or GED or equivalent experience.
• 1-3 years' healthcare billing experience.
• Knowledge of CPT, ICD-9 codes and payer specific coding.

Responsibilities

• Posts payments and performs reconciliation of billing.
• Enters charges for office, hospital, and outpatient services.
• Assists customers with billing inquiries.
• Verifies insurance information and sends claims.
• Maintains compliance with reimbursement policies.

Skills

Healthcare billing

Communication

Reconciliation

Insurance verification

Education

High school diploma or GED

Graduate of medical billing program

Job description

Company: Allegheny Health Network

Job Description

GENERAL OVERVIEW

This job processes pro-fee billing activities.

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).
• Assists 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.

Preferred

• Graduate of a medical billing program.
• Medical Records training and OASIS education.

Equal Employment Opportunity

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.