Claims Processing Assistant Pulmonology
Ascension · Jacksonville, Florida, United States · remote
- Location: Jacksonville, FL
- Facility: Ascension St. Vincent's Riverside Dillon Building
- Schedule: Full-Time
- Prepares insurance claims for submission to third party payers and/or responsible parties.
- Reviews claims for accuracy, including proper diagnosis and procedure codes.
- Reviews claim rejections and communicates with payers to resolve billing issues.
- Prepares and reviews routine billing reports. Recommends process improvements based on findings.
- Responds to complex telephone and written inquiries from patients and/or third party payers and physician practices.
Licensure / Certification / Registration
- Required Credential(s):- None Required.
Education
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. *Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
Additional Preferences
- 3 years of experience handling acute and provider-based hospital medical billing
- Proficient with 1500 and UB04 claim forms
- Comprehensive revenue cycle understanding, spanning front-end, mid-cycle, and back-end RCM denial management
- Strong technical background in charge entry, coverage verification, LOB guidelines, and authorization requirements