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 detailed technique will resolve medical, developmental, behavioral, sensory and oral motor feeding concerns. Our center is here to serve all kids from those with small problems to complicated 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 wellness.
  • Professional Development: By supporting our partners and their expert advancement, we eventually boost the care and services we supply to the neighborhood. Through this advancement, our partners discover brand-new chances for profession development.
  • Compensation/Benefits: At Ascension, we offer 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 take care of 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 support 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 confirm insurance protection and coordination of gain from all sources forassigned location. Make sure correct sufficient and prompt billing to make sure timely payment.

Responsibilities:

  • Confirm insurance protection. Identify need for pre-authorization and acquire permission for multidisciplinary pediatric feeding treatment consisting of Psychology, Occupational Therapy, Speech Therapy, and Registered Dietitians.
  • Determine monetary duty for services to be supplied. Alert clients and/or specialists of any services asked for and/or referred that are not licensed by insurance coverage.
  • Communicate with clients and specialists concerning monetary duty and insurance protection concerns to guarantee finest readily available reward choices can be suggested
  • Maintain in-depth paperwork in the client account record of all billing activities. Preserve documents of claims processed as part of the everyday claims reconciliation procedure.
  • Track go to count to guarantee insurance coverage permission protection.
  • Prepare and finish claims for industrial insurer, 3rd party companies and/or federal government or self payers.
  • Research, evaluate and fix up Medicare/Medicaid billing and repayment practices.
  • Maintain in-depth paperwork in the client account record of all billing activities. Keep paperwork of claims processed as part of the day-to-day claims reconciliation procedure.
  • Consult with suitable celebrations to deal with unbilled claims. Evaluation current represent appropriate billing practices and compensation.
  • 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 appropriate 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 offered.

Why Join Our Team

Ascension St. Vincent in Indiana has actually been offering satisfying 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 vast array 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 health centers and 40 senior living neighborhoods in 19 states.

Our Mission, Vision and Values incorporate 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, religious beliefs, nationwide origin, citizenship, gender identity, sexual preference, age, physical or psychological special needs, veteran status, hereditary information, or other lawfully safeguarded status.

Pay Non-Discrimination Notice:

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For more info 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 obtained a position utilizing our main application. Be on alert for possible deceptive deals of work. Ascension will not obtain cash or banking details from candidates.

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

Ascension

Read More

http://medicalbillingcertificationprograms.org/insurance-coverage-specialist-billing-rep-pediatric-specialty-5/

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