Billing Representative

Schedule Weekly Hours:

Scheduled Weekly Hours:

40

What You'll Do:

Basic Function: Verify accuracy of claims/bills. Files insurance claims for patients and residents. Perform follow-up on accounts with other departments, patients, or residents, or the insurance companies, as needed. Ensures proper, adequate and timeline billing to ensure prompt payment.

Major Responsibilities

- Verifies accuracy of claims/bills.

- Files claims/bills to appropriate payer.

- Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.

- Reviews remittance advices to verify proper reimbursement.

- Assist co-workers on overflow work and provides backup when needed.

- Maintains detailed documentation in the patient account record of all billing activities.

- Maintains documentation of claims processed as part of the daily claim's reconciliation process.

- Prepares and completes claims for commercial insurance companies, third party organizations and/or government or self-payers.

- Researches, analyzes and reconciles Medicare/Medicaid billing and reimbursement practices.

- Maintains detailed documentation in the patient account record of all billing activities.

- Maintains documentation of claims processed as part of the daily claim's reconciliation process.

- Consults with appropriate parties to resolve unbilled claims. Reviews recent accounts for proper billing practices and reimbursement.

- Adheres to regular and predictable attendance.

- Performs other duties as assigned.

Education and Learning:

REQUIRED

• High school or equivalency

Work Experience:

REQUIRED

• None required.

License and Certifications:

• None required.

Osha Category:

Category 3 - Employees in this job title have no reasonably anticipated risk of occupational exposure to blood and/or other potentially infectious materials.

Environmental Conditions:

Subject to inside environmental conditions

Not substantially exposed to adverse environmental conditions (as in typical office work)

Physical Requirements/Demands of The Position:

Frequent sitting.

Occasional push/pull, stand, walk, reach horizontally, bend/stoop.

Rare twist, squat, kneel, reach above shoulder level,

Lift/carry up to 10 pounds.

Hand functions: Simple and firm grasp, fine manipulation, feel (size, shape, temperature, texture).

Near and far hearing and visual acuity.

If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267

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Equal Opportunity Employer