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Billing Specialist - Melbourne, United States - IASIS Healthcare
Description
Billing SpecialistClick Here to Apply OnlineJob DescriptionLocation: Steward Medical Group - CentralPosted Date: 11/28/2023About Steward Health CareNearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness.
One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
As the country's largest physician-led, tax paying, integrated health care system, our doctors can be certain that we share their interests and those of their patients.
Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.
Steward is among the nation's largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.
Based in Dallas, Steward currently operates 39 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas, and Utah.For more information, visit SUMMARY:
To function as a member of the administrative team and complete all daily tasks to ensure smooth day-to-day operations in busy practice.
Responsible for posting, coding, and collection of receivables RESPONSIBILITIESReceives and organizes hospital census, charge sheets and other billing data to be coded and entered into the proper spreadsheet or EPM.Contacts various parties to request and/or obtain missing documentation and appropriate coding.
Reviews and ensures that correct information/ documentation has been entered into the EPM, EMR and hospital, to be able to code the charges correctly before they are anizes, compiles and enters all assigned charges and/or payments, balances to the system, maintains spreadsheets and logs as applicable.
Reviews all daily charges from the 'interface' and corrects errors to ensure proper billing.Enters patient demographic information and charges into EPM. Files hard copy based on visit and information entered.
Provides coding feedback to the medical providers regarding billing problems via e-mail.
Attains proper documentation from the patient's medical record and assures that all new or denied claims are corrected utilizing CPT-4 and ICD-9 codes to insure proper reimbursement.
Reviews, copies and appeals denials as outlined in the Explanation of Benefits.Audits patient accounts and generates claims for billing secondary claims.
Audits patient accounts to ensure that refunds and adjustments are properly done.
Handles the 'CBO front desk' collections and patients with billing enquiries.
Research and contact various parties to obtain information to submit corrected data for re-billing.
Such as researching addresses from returned mail, contacting the patient for correct billing information, calling hospitals and other agencies for proper documentation, etc.
Timely communicates, verbal or written, with payers to expedite collections.Handles 'Billing Phone' for all patient billing questions in a timely manner.
Contacts patient to inform them of coverage of services and their responsibility prior to appointment date. (diabetes management, etc.)Call insurance companies to verify insurance eligibility and coverage. Requests appropriate referrals when required by the insurance companies.
Follows Universal Precaution Procedures while performing applicable plies with the facility privacy policies and procedures for the management of protected health information (PHI)Understands that ignoring situations where PHI may have been potentially compromised comes with legal ramifications to both the practice and selfUtilizes appropriate Personal Protective Equipment in the performance of duties.
Demonstrates knowledge of policies and procedures applicable to job position.Maintains computer skills, keeps up with coding and billing updates necessary to insure accuracy and efficiency in the performance of all assigned job duties.
Adheres to infection control and safety policies, including education, reporting and practice implementation specific to job position.Helps to maintain the office area to reduce the risk of safety hazards and enhance general appearance.
Protects and honors patient and co-worker confidentiality.
Consistently adheres to Agency dress code.
Work independently or as a 'Team' and without direct supervision by prioritizing work and following through on duties.
Meets attendance and punctuality expectations.
Behavior toward coworkers, supervisors and patients consistently displays a courteous respectful attitude and promotes teamwork within the organization.
Performs other duties as assigned by supervisor.
REQUIRED EXPERIENCE:
Education from approved medical administrative program or equivalentHigh School Diploma or equivalent1 to 3 years of experience as a Clinical Secretary/ Billing SpecialistExperience with electronic medical record strongly preferred (Athena a plus)Experience with Microsoft Office, Word, Excel and OutlookSteward Health Care is an Equal Employment Opportunity (EEO) employer.
Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.
Application InstructionsPlease click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you
