Medical Biller - Memphis, United States - Somnia Inc.

Somnia Inc. Memphis, United States

1 week ago

Description

ENJOY WHAT YOU DO

We enjoy what we do every day because we're part of a team that collaborates and innovates to deliver the best clinical outcomes and patient experiences at hospitals, surgery centers, and medical offices. We share ideas to make healthcare better. We have true work-life balance because we care for our caregivers, too. Join our talented team Love what you do

The Medical Biller will partner with the Regional VP of Ops and their colleagues as well as Somnia corporate to ensure every clinical encounter across all sites (Methodist University, North, South and Germantown) results in a billed CPT code and is appropriately documented.

This is a pivotal role for the department as the hospital is currently transitioning from Cerner to Epic. Although most cases involve electronic records, some are generated on paper. This role will also involve managing the external billing company we utilize (Coronis). Tasks will also include oversee and audit. This role requires onsite presence throughout the hospital network as well as remote work.

Responsibilities of the Medical Biller:

Operations

Develop and implement process to capture all clinical activities at each facility (Methodist University, North, South and Germantown).

Reconcile all captured charges to those received by Coronis and also to the various schedules maintained by each area, as well as resolve all discrepancies.

Data remediation - Remedy any missing, incorrect, or outdated information. For example, transmit payor edit reports to Coronis.

Ensure that demographic edit reports are run every day and systems are updated to reflect changes (e.g.; insurance changes, name changes, etc.

Transmission

Electronic - Ensure that all data streams are complete, accurate and contain the required clinical and demographic information to prepare and process claims.

Ensure that all clinical and demographic information is scanned and uploaded to server and that Coronis is accessing said information.

Information and Technology

EDI interchange – monitoring & development between MLBH & EMR systems and Coronis

Scrub all data to ensure missing or incorrect information is resolved.

Audit

Conduct audits of each billing provider of no less than 10 claims/year on areas that are relevant to risk management (e.g.; start/end times, supervision/direction, etc.) and, to the extent that. imperfections are detected, re-train and re-educate the department or specific individuals.

Terminal Adjudication

Become fluent on hospital and Somnia self-pay policies and ensure adherence to them.

Develop, implement, and maintain a process for the collection of all self-pay receivables, or support a Coronis process.

Education and Training

Train Practice Administrators to thoroughly scrub paper or electronic records for all the pertinent information[1] as well as well as to otherwise support the RCM processes.

Prepare quarterly 15 -minute lecture on billing topic for Anesthesia Department.

Communication

Foster positive communication to enhance the access to timely, high quality, and accurate information on information pertinent to billing with hospital clinical and administrative staff.

Collaborate with Department Clinicians consistently to resolve open issues pertaining to billing (e.g. ; open charts, information validation, etc.).

Participate in Dept Meetings.

Billing Company Liaison and Reporting, have the billing company:

Generate various reports as needed and assigned.

Work Location: Memphis, TN onsite

Compensation: $50,000 annually

Job Type: Full-time

Benefits for the Medical Biller:

401K | Flexible Spending Accounts

Paid Time Off

About Somnia Anesthesia

Since 1996, Somnia () has had singular focus on anesthesia--investing in clinician professional development—so patients can get the best are possible. We welcome and encourage applicants of all races, colors, genders, religions, sexual orientations, national origins and disabilities, as well those who have served.

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