Billing Specialist - Revenue/Procurement

Presbyterian Healthcare Services

1d•Onsite

About The Position

Presbyterian is hiring a skilled Revenue/Procurement Specialist ideally with healthcare billing experience. This role is a full-time, exempt position based at the Reverend Hugh Cooper Administrative Center. The primary responsibility is as a revenue specialist, which involves coordinating all financial aspects of a patient's PINC experience related to billing, charge posting, and unit revenue reconciliation. The specialist will provide knowledgeable, responsive, and timely resolution to departmental billing and charge posting discrepancies. This includes entering patient charges, reviewing and reconciling daily posting transaction reports for completeness and accuracy, and monitoring changes to individual charge masters within their respective business units. Communication with finance is essential to ensure the chargemaster is up-to-date and that all charges comply with regulatory agencies. The role also involves rendering assistance to PHS system personnel in researching questions, inquiries, and performing stats checks, scheduling Donor Service patients, and maintaining the scheduling program and department statistics.

Requirements

High School diploma
One to three years experience in a healthcare reimbursement/business office environment to include data entry, clerical and financial functions, and billing and account reconciliation.
Knowledge of CPT, ICD-9 and HCPCS coding.
Ability to work under pressure of rigid cycles and production schedules.
Knowledge of medical terminology
MS office and Medipac preferred.

Nice To Haves

healthcare billing experience
MS office
Medipac

Responsibilities

Coordinating all financial aspects of a patient's PINC experience related to billing, charge posting and unit revenue reconciliation.
Provide knowledgeable, responsive, and timely resolution to departmental billing, charge posting discrepancies.
Entering patient charges, reviewing and reconciling daily posting transaction reports to ensure completeness and accuracy of all charge entries for PINC patients.
Monitoring changes to the individual charge masters within his/her respective business unit.
Communicating with finance to ensure that chargemaster is up to date.
Ensure that all charges are entered accurately and conform to compliance issues set by finance regulatory agencies.
Reviewing, updating and posting charges.
Communicating with finance to ensure that all charge entry and posting is in compliance with regulatory agencies, i.e., CMS, FDA, etc.
Listen, analyze, answer, resolve and coordinate charge master / billing inquiries and issues for any or all network service areas to ensure accurate and timely billing functions and to reconcile billing discrepancies.
Document via information systems the response and resolutions to charge master inquires and issues to ensure high quality and standardized responses, as well as tracking and reporting capabilities.
Access on-line information technology and hard copy documentation to assist in answering and resolving charge master inquiries and issues.
Maintains and fosters effective communications/relation with managers, supervisors, unit secretaries, admin assistants, and finance.
Reviews billing/charge master transaction summaries daily and ensures accuracy and completeness of all data entered.
Reconciles daily billing activity to ensure all charges are entered correctly.
Responsible for the confidentiality of all patient information being documented.
Establish and maintain relationships with finance.
Render assistance to PHS system personnel in researching questions and inquiries, and stats checks.
Schedule Donor Service patients, prior to surgery and for blood donations.
Maintain the scheduling program.
Check in Donor Service patients.
Maintain various department statistics.