About the role
This position is responsible for the analyzing, posting and correction of hospital charges submitted to the change entry unit, in order to send compliant billing to the insurance carriers and patients.
FLSA STATUS: ☐ Exempt ☒ Non-Exempt MISSION STATEMENT: Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time. VISION: Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.
- This position is responsible for the analyzing, posting and correction of hospital charges submitted to the change entry unit, in order to send compliant billing to the insurance carriers and patients. POSITION EDUCATION/ QUALIFICATIONS: High school diploma/GED is required. One to two (1
- 2) years of hospital billing experience may substitute for educational requirements. Previous healthcare experience (1
- 2 yrs.) is required, hospital experience preferred. Comprehensive knowledge of healthcare reimbursement, medical terminology, CPT, ICD, and HCPCS codes. Good written and verbal communication skills are required. Ability to read, write and speak English Ability to communicate clearly and concisely with all levels of management. JOB KNOWLEDGE/EXPERIENCE: One – Two (1
- 2) years Hospital billing experience preferred Medical Terminology, ICD-9 Codes, CPT Codes, HCPCS code, Modifier knowledge is preferred Understanding of hospital chargeable supplies, preferred Microsoft office suite computer skills are required, Excel knowledge preferred. Requires good communication and organizational skills. Requires reasoning ability, analytical skills and good independent judgment. Requires working with frequent interruptions.
Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices Receives batches from Urology Clinic and accurately registers patient in Paragon Input CPT and/or HCPCS procedure-based charges from patient 3M coding abstracts and modifiers into the patient accounting system. Ability to identify and input charges according to primary and secondary procedural charges, when multiple procedures are performed Review account for charge completeness and/or corrections and remove ‘bill hold” flag indicator on completed accounts.
Review and correct any date or quantity discrepancies on patient accounts. Accurately removes and adds incorrect charges or adds missing charges as needed. Daily obtains departmental charges and schedules to reconcile patient charge sheets against final daily schedule and input charges.
Investigate, add or remove charges/codes for the coding department, Auditor and/or Billing Department as necessary. Identify charge codes and mark-up charge amounts for all departments. Identify and input supply charges from “green sheets” Notify billers of corrections re-bills that are received from coders via email or abstracts.
Identify and place accounts on hold to prevent late charges. Ability to run Crystal reports and Paragon reports Demonstrates knowledge in accessing EMR patient record for additional billing information needed. Other duties as assigned.
LINES OF
(Chain-of-command) 1. (Revenue Integrity Manager) → 2. Director of Revenue Integrity) → 3.
(Chief Revenue Officer) Other information: CUSTOMER SERVICE: Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C. A.
R. E. S program, which outlines the Customer Service Principals including Commitment, Accountability, Respect, Excellence and Service.
AGE SPECIFIC: Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.
AMERICANS WITH DISABILITIES ACT: (ADA): A.
Indicated by bold print within performance standards, preceding individual numbered criteria. The following table provides physical requirements that will be associated with, but not limited to, this position: Light/moderate lifting up to 20 lbs, from the floor to shoulder height. Yes Kneeling Yes Must be able to assist other employees with lifting more than 20 lbs.
Yes Walking Yes Light/moderate carrying up to 20 lbs. Yes Standing/Squatting Yes Straight pulling Yes Sitting Yes Pulling hand over hand Yes Pushing Yes Repeated bending Yes Stooping/Bending Yes Reaching above shoulder Yes Climbing Stairs Yes Simple grasping Yes Climbing Ladders No Dual simultaneous grasping Yes Depth Perceptions needed Yes Ability to see Yes Identify Colors Yes Operating office equipment Yes Twisting Yes Operating mechanical equipment Yes Crawling No Ability to read and write Yes Ability to Count Yes Ability to hear verbal communication without aid Yes Operating Personal Vehicle Yes Ability to comprehend written/verbal communication Yes Other: Ability to deal with stress Yes OSHA Category III B.
Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.
C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.
D. Aptitudes: HIGH 1 2 3 4 5 6 LOW Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 3 Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively.
To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3 Numerical: Ability to perform arithmetic operations quickly and accurately. 2 Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2 Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3 Clerical Perception: Ability to receive pertinent details and verbal or tabular material.
To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2 Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3 Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3 Manual Dexterity: Ability to move hands easily and skillfully.
To work with hands in placing and turning motions. 3 Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3 Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3 I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.