Thursday, October 20, 2022

Insurance Coverage Specialist/Billing Rep - Pediatric Specialty


Job Description:

Details

Insurance Specialist/Billing Representative

Pediatric Specialty

Full Time, Days

Ascension St. Vincent Center for Children

Evansville, IN

Flexible work plan offered.

Suggested work schedule Monday-Friday, 8: 00 am – 4: 30 pm.

No arranged vacations or weekends.

In Evansville, IN, the pediatric feeding program at Peyton Manning Children’s Hospital Center for Children is a multidisciplinary group of professionals that offers evaluation and treatment through a kid’s course of care. Our thorough method will resolve medical, developmental, behavioral, sensory and oral motor feeding concerns. Our center is here to serve all kids from those with small concerns to intricate cases.

Benefits/ Rewards/ Career Development

  • Wellbeing Programs: Transforming health care begins with looking after our partners. We understand our partners are hectic and on the go. We supply our group resources and tools to assist them proactively handle their physical, spiritual, and psychological health and wellbeing.
  • Professional Development: By supporting our partners and their expert advancement, we eventually improve the care and services we offer to the neighborhood. Through this advancement, our partners discover brand-new chances for profession improvement.
  • Compensation/Benefits: At Ascension, we supply a competitive payment plan inclusive of a large range of versatile advantage alternatives. We support work-life balance through generous paid time off and motivate spirituality in the work environment.

Join us as we develop a neighborhood where we look after each other and our clients!

Ministry Benefits

Paid time off (PTO)

Various medical insurance choices & health strategies

Retirement advantages consisting of company match strategies

Long-term & short-term special needs

Employee help programs (EAP)

Parental leave & adoption support

Tuition compensation

Ways to return to your neighborhood

Benefits can differ. Please note, your Talent Advisor can offer specifics to the function ought to you have concerns.

Responsibilities

Determine and validate insurance protection and coordination of take advantage of all sources forassigned location. Guarantee correct appropriate and prompt billing to guarantee timely payment.

Responsibilities:

  • Confirm insurance protection. Identify requirement for pre-authorization and get permission for multidisciplinary pediatric feeding treatment consisting of Psychology, Occupational Therapy, Speech Therapy, and Registered Dietitians.
  • Determine monetary duty for services to be supplied. Inform clients and/or professionals of any services asked for and/or referred that are not licensed by insurance coverage.
  • Communicate with clients and specialists concerning monetary obligation and insurance protection concerns to make sure finest readily available reward alternatives can be advised
  • Maintain comprehensive documents in the client account record of all billing activities. Keep documents of claims processed as part of the day-to-day claims reconciliation procedure.
  • Track check out count to guarantee insurance coverage permission protection.
  • Prepare and finish claims for business insurance provider, 3rd party companies and/or federal government or self payers.
  • Research, examine and fix up Medicare/Medicaid billing and compensation practices.
  • Maintain comprehensive paperwork in the client account record of all billing activities. Preserve paperwork of claims processed as part of the day-to-day claims reconciliation procedure.
  • Consult with proper celebrations to solve unbilled claims. Evaluation current represent correct billing practices and repayment.
  • Research rejections, exemptions on claims
  • Follow up month-to-month on repayments/ reclaim and rejections
  • Manage any insurance coverage modifications that will eventually impact treatment with therapist
  • Assist workplace assistant with primary line inbound calls

Requirements

Education:

  • High School diploma equivalency OR 1 year of relevant cumulative task particular experience needed.
  • Note: Required expert licensure/certification can be utilized in lieu of education or experience, if suitable.

Additional Preferences

Medical workplace administration, billing, or insurance coverage experience chosen.

On the task training readily available.

Why Join Our Team

Ascension St. Vincent in Indiana has actually been supplying gratifying professions in health care for over 148 years. With 24 medical facilities throughout the higher Indianapolis and Evansville locations, Ascension St. Vincent provides professions in a wide variety of services consisting of severe and long-lasting care, bariatrics, cancer care, cardiovascular services, emergency situation services, neuroscience, orthopedics, pediatric services, main and immediate care, ladies’s health services and more.

Ascension is a leading non-profit, faith-based nationwide health system comprised of over 150,000 partners and 2,600 websites of care, consisting of more than 140 healthcare facilities and 40 senior living neighborhoods in 19 states.

Our Mission, Vision and Values include whatever we do at Ascension. Every partner is empowered to return, volunteer and make a favorable effect in their neighborhood. Ascension professions are more than tasks; they are chances to boost your life and the lives of individuals around you.

Equal Employment Opportunity Employer

Ascension St. Vincent is an Equal Employment Opportunity (EEO) and Affirmative Action company. Associates and Applicants get reasonable and objective factor to consider without regard to race, color, faith, nationwide origin, citizenship, gender identity, sexual preference, age, physical or psychological impairment, veteran status, hereditary information, or other lawfully safeguarded status.

Pay Non-Discrimination Notice:

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For additional details concerning your EEO rights, click the following link to the “EEO is the Law” poster:

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Please keep in mind that Ascension will make a deal of work just to people who have actually gotten a position utilizing our main application. Be on alert for possible deceitful deals of work. Ascension will not get cash or banking details from candidates.

This company takes part in the Electronic Employment Verification Program. Please click the E-Verify link listed below to learn more.

Ascension

Read More

http://medicalbillingcertificationprograms.org/insurance-coverage-specialist-billing-rep-pediatric-specialty/

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