Job Information
Catholic Health Initiatives Billing Rep in Pasadena, Texas
Overview
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.
Responsibilities
Processes Hospital claims timely and accurately both electronic and hard copy to insurance carriers.
Resolves various edits within billing software to include: missing/invalid information, CCI edits, incorrect patient information, etc.
Works closely with H.I.M., Departments and Revenue Integrity to resolve billing issues and ensure that complete diagnosis/procedure codes and modifiers are reported to insurance carriers as required
Resolves rejections by correcting and resubmitting claims to insurance carriers
Reviews accounts in designated work queue for resubmission and/or correction
Maintains working knowledge of ICD10 and CPT codes
Reconciles daily late charge report
Remaining up to date on billing guidelines
Handling sensitive and confidential information in accordance with HIPAA regulations
Qualifications
High School Diploma or GED equivalent
Knowledge of Hospital UB04
1-2 years of medical insurance billing experience (Hospital preferred)
Working knowledge of HIPAA regulations
Understanding of EHR and billing software applications
Experience with Direct Data Entry DDE a plus
Pay Range
$12.71-$17.47/Hour
We are an equal opportunity/affirmative action employer.