Accounts Receivable, Billing, Cost Control, Cost Effectiveness Analysis, Current Procedural Terminology (CPT), Financial Management, Health Plan, Healthcare, ICD-10, Infection Control, Language Interpreter, Medical Billing, Medical Coding, Patient Education, Performance Management, Problem Solving Skills, Productivity Management, Project/Program Coordination, Reconciliation, Staff Training, Time Management
- Perform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate.
- Ensure that claims are coded and processed accurately and timely.
- Work the primary holds daily for all billing related follow-up and communicates with the practice staff and physicians to identify improvement when necessary.
- Billing liaison between the Practices and other Saint Peter's Healthcare System departments as well as physician billing vendor.
- Assist Billing/Coding Coordinator with related projects and issues as they arise.
- Act as the financial interpreter for patients by advising them of their financial responsibility, providing them with concise and easily understood information about healthcare coverage, prior to or at time of service. Coordinates activities with the registrars by offering counseling to patients when notified of the need.
- Educate and provide physicians/surgeons with diagnosis codes (ICD-10) and procedure codes (CPT) when requested.
- May assist with the education and training of office staff on processing office and surgery claims, managing the Athena hold buckets, IngeniousMed tasks, precertifications, and other billing related functions.
- Ensure that all appropriate follow-up is done according to procedure to ensure timely payments are received. This is done by working with the facility and physician billing representatives by following up on denials and open accounts receivable.
- Assist the other billing staff members in the resolution of problems related to registration, charge entry, coding and payment reconciliation.
- Perform billing-related project research related to the activities of the Department.
- Recommend changes in office procedures to improve efficiency, productivity and/or cost effectiveness on an ongoing basis as evidenced by departmental efficiency and/or cost savings.
- Maintain an orderly and efficient work area consistently following proper safety, emergency, infection control and performance improvement guidelines.
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Saint Peter's Healthcare System Inc