Billing Representative

Ascension; Nashville (TN); Sur place; USD 30 000 - 39 000; Plein temps

Avantages offerts par ce poste

Health coverage

403(b) retirement plan

PTO and holidays

Tuition reimbursement

Employee Assistance Program

Parental leave

Pet insurance

Résumé du poste

Ascension Saint Thomas West in Nashville, TN seeks a Billing Specialist to manage insurance verification, pre-authorization, and billing for scheduled procedures. You will determine financial responsibility, notify patients and providers of non-authorized services, and communicate about coverage issues.

This role requires a high school diploma or equivalent or one year of relevant experience, with thorough documentation in patient accounts and claims processing.

Qualifications

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.

Responsabilités

• Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures.
• Determines 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.
• Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.
• Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.

Formation

High School diploma equivalency OR 1 year of applicable cumulative job specific experience

Description du poste

• Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures.
• Determines 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.
• Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.
• Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.

Your future role at a glance

• Location: Nashville, TN
• Facility: Ascension Saint Thomas West
• Department: Renal Transplant Services
• Schedule: Day Shift l Full-time

How you’ll make an impact in this role

• Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures.
• Determines 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.
• Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.
• Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.

What Minimum Requirements You’ll Need

Licensure / Certification / Registration:

• Required Credential(s):
  • None Required.

Education

• 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.

Benefits that help you thrive

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

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