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Billing Representative

We Are Hiring

Rep-Billing - Orthopedic Hospital of WI - Full-Time, Days- Ortho Hospital of Wisconsin - Glendale, WI

*Work Schedule: 8AM-430PM M-F

Why Join Ascension?

Ascension Wisconsin operates 24 hospital campuses and more than 100 related healthcare facilities from Racine to Eagle River. Ascension Wisconsin employs more than 1,300 primary and specialty care clinicians. Ascension Wisconsin is a faith-based healthcare organization that has been serving the state since 1848. In FY2018, Ascension Wisconsin provided more than $292 million in community benefit, including care of persons living in poverty.

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all, especially to those most in need. In FY2018, Ascension provided nearly $2 billion in care of persons living in poverty and other community benefit programs.

What You Will Do

As an Associate with Columbia St. Mary's-WI, you will have the opportunity to determine and verifiy insurance coverage and coordination of benefits from all sources for assigned area. Ensures proper adequate and timely billing to ensure prompt payment.

Responsibilities:

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

What You Will Need

Education:

  • High school diploma or GED required

Work Experience:

  • None required.

Equal Employment Opportunity

Ascension Wisconsin is an equal opportunity employer and will not discriminate against employees or prospective employees on basis of age, race, creed, color, religion, marital status, sex, national origin, ancestry, citizenship, sexual orientation, disability, arrest and/or conviction record, military status, protected veteran status, or any other characteristic or status protected by law.

For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

M/F/Disabled/Vet

EEO is the Law Poster Supplement

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/ofccp_eeo_supplement_final_jrf_qa_508c.pdf

Job ID: 398605
Category: Patient Services
Ministry: Ascension Wisconsin, WI
Location: Glendale, WI

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