**Company :**
Allegheny Health Network
**Job Description :**

GENERAL OVERVIEW:

This job processes pro-fee billing activities.

ESSENTIAL RESPONSIBILITIES:

+ Posts co-payments, patient payments, and insurance company payments (paper and electronic), and denials. Performs reconciliation of payments. Prepares and deposits payments received.
+ Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges).
+ Assists customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions.
+ Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system.
+ Verifies insurance information via hospital and insurance carrier systems. Ensures that electronic and paper claims are sent to insurance carriers in a timely manner.
+ Maintains c...