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Billing Rep

St Luke's Health - Patients Medical Center Pasadena, Texas
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The posted compensation range of $12.71-$17.47/Hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2024-356427 Employment Type Full Time Department Business Office Patient Financial Services Hours/Pay Period 80 Shift Day Weekly Schedule 8am-5pm Remote No Category Billing and Scheduling
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
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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.