Medicare Billing Representative
St. Vincent's Health System, Birmingham, AL, United States
Insurance Billing Coordinator
Determine and verify insurance coverage and coordination of benefits from all sources for assigned area. Ensure proper adequate and timely billing to ensure prompt payment.
Confirm insurance coverage. Determine necessity for pre-authorization and obtain authorization for scheduled procedures.
Determine financial responsibility for services to be provided. Notify patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.
Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues.
Maintain detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process.
Prepare and complete claims for commercial insurance companies, third party organizations and/or government or self payers.
Research, analyze and reconcile Medicare/Medicaid billing and reimbursement practices.
Consult with appropriate parties to resolve unbilled claims. Review recent accounts for proper billing practices and reimbursement.
Education:
High school diploma or GED required.
UAB St. Vincent's, a proud part of UAB Medicine, is a trusted provider of health care, serving Alabama for more than 125 years. With five hospitals and numerous clinics, we're a health care community deeply rooted in compassion, service, and respect for all, guided by the rich legacy of the St. Vincent's name. We're committed to extending kindness and personalized care to patients, their families, and each other. We address the physical, psychological, social, and spiritual needs of our patients. We believe in the power of teamwork and unity, and foster a collaborative spirit among our more than 4,800 employees. As one of Alabama's best hospitals as recognized by U.S. News & World Report, improving the health and lives of those we serve is at the heart of our mission. Join us in continuing our legacy of service and healing in central Alabama, where we can make a lasting impact together.
Determine and verify insurance coverage and coordination of benefits from all sources for assigned area. Ensure proper adequate and timely billing to ensure prompt payment.
Confirm insurance coverage. Determine necessity for pre-authorization and obtain authorization for scheduled procedures.
Determine financial responsibility for services to be provided. Notify patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.
Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues.
Maintain detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process.
Prepare and complete claims for commercial insurance companies, third party organizations and/or government or self payers.
Research, analyze and reconcile Medicare/Medicaid billing and reimbursement practices.
Consult with appropriate parties to resolve unbilled claims. Review recent accounts for proper billing practices and reimbursement.
Education:
High school diploma or GED required.
UAB St. Vincent's, a proud part of UAB Medicine, is a trusted provider of health care, serving Alabama for more than 125 years. With five hospitals and numerous clinics, we're a health care community deeply rooted in compassion, service, and respect for all, guided by the rich legacy of the St. Vincent's name. We're committed to extending kindness and personalized care to patients, their families, and each other. We address the physical, psychological, social, and spiritual needs of our patients. We believe in the power of teamwork and unity, and foster a collaborative spirit among our more than 4,800 employees. As one of Alabama's best hospitals as recognized by U.S. News & World Report, improving the health and lives of those we serve is at the heart of our mission. Join us in continuing our legacy of service and healing in central Alabama, where we can make a lasting impact together.