Billing Coordinator CHMG - Springfield, United States - Crozer-Keystone Health System

Description

Performs all duties relevant to the Revenue Cycle in accordance with established policies and procedures.

Performs duties in support of the Crozer Health System mission in economically sound and efficient manner.# Ensure demographic checks, eligibility # benefit verifications are performed on all patient accounts prior to the date of service for all scheduled visits and upon encounter creation for all non-scheduled services.

Review all charge documents for accuracy, completeness and appropriateness of charges based upon current CPT / ICD10 codes. Able to appropriately obtain authorizations, pre-certifications or referrals if necessary. Extract information from medical records/operative notes/hospital admissions/consults/progress notes if necessary. Provides information in accordance with billing policies and procedures, upon request, to patients and/or insurance companies within established timeframes. Review and resolve all outstanding work items in the practice management system daily. Research and resolve billing discrepancies, denials and appeals. Mandated and Permissive Reporter Training required#

Performs all duties relevant to the Revenue Cycle in accordance with established policies and procedures. Performs duties in support of the Crozer Health System mission in economically sound and efficient manner.

Ensure demographic checks, eligibility & benefit verifications are performed on all patient accounts prior to the date of service for all scheduled visits and upon encounter creation for all non-scheduled services.

Review all charge documents for accuracy, completeness and appropriateness of charges based upon current CPT / ICD10 codes. Able to appropriately obtain authorizations, pre-certifications or referrals if necessary. Extract information from medical records/operative notes/hospital admissions/consults/progress notes if necessary.

Provides information in accordance with billing policies and procedures, upon request, to patients and/or insurance companies within established timeframes. Review and resolve all outstanding work items in the practice management system daily.

Research and resolve billing discrepancies, denials and appeals.

Mandated and Permissive Reporter Training required