Lead Perioperative Biller
About The Position
CentraState Healthcare System, headquartered in Freehold, New Jersey, is a leading nonprofit healthcare provider dedicated to serving the community. Its comprehensive network includes CentraState Medical Center, a community-focused hospital, along with an ambulatory campus, two senior living facilities, three free-standing community health pavilions, and a charitable foundation. As the third-largest employer in Monmouth County, CentraState has earned repeated recognition as a Great Place to Work-Certified™ company, reinforcing its reputation as an exceptional workplace. CentraState Medical Center is currently seeking a Lead Perioperative Biller to support Perioperative Administrative Services. This role is responsible for ensuring the accurate and timely review of charges related to surgical services. Work schedule is Mon-Fri 9:30am-5:30pm.
Requirements
- High school diploma or equivalent required.
- At least two years of experience with charging, billing and/or finance required.
- At least 2 years of previous experience in a lead role.
- Must be proficient with API, Microsoft Excel, Outlook and Word.
- Knowledge of ChartMaxx, EPIC, POU, and have a basic knowledge of Crystal.
- Ability to read, write and speak English required.
Nice To Haves
- Associate's degree in business or medical coding preferred.
- RHIT Certification preferred.
Responsibilities
- Provides administrative support for the Department of Surgery and Perioperative Areas by assisting in department functions, special projects, and business meetings.
- Assists in the creation and maintenance of a variety of Perioperative data collection processes.
- Customizes reports as requested.
- Prepares reports as requested by Perioperative leadership and Surgery Department physicians.
- Oversees clerical support staff, reviews scheduled cases with special needs for approved implants, participates in hiring of Clerical support staff team, prepares schedule and approves PTO.
- Insures for accurate entry of charges and post case data.
- Ensures non-cat/misc. charges are completed in a timely manner.
- Maintains PMM database.
- Ensures the CDM has CS inventory.
- Works collaboratively with PFS to ensure proper billing/charging records.
- Maintains account work queues.
- Compliant with all CS/AHS charging guidelines.
- Attends Value Analysis weekly meetings, provides follow up to requesting surgeon of status of request.
- Verifies with Finance and Materials Management that approved items are imported into EPIC and properly assigned charge codes.
- Reviews related cases to insure charges are documented and billed.
- Participates in preparation of clerical support staff yearly evaluations.
- Demonstrates financial and budgetary compliance.
- Utilizes variety of AHS software applications to maintain databases and audit effectively.
- Troubleshoots application issues and facilitates timely repairs.
- Acts as a liaison for Perioperative staff, physicians, and hospital staff.
- Effectively communicates with passion/pride.
- Acts as an innovative resource and exceeds customer needs.
- Seeks out to develop knowledge base on upcoming business strategies.
- As part of the annual evaluation process, submits a list of year end accomplishments as well as goals that are reviewed and mutually agreed upon for the coming year.
- Maintains personal/professional growth through organization's OD classes, in-service education, conferences, and literature.
- Must attend required number of mandatory meetings.
- Performs other tasks which may be required: assignments that meet the needs of the department.
Benefits
- Medical, Dental, Vision, Prescription Coverage (30 hours per week or above for full-time and part-time team members)
- Life & AD&D Insurance
- Long-Term Disability (with options to supplement)
- 403(b) Retirement Plan with employer match
- 401(a) Retirement Plan with employer contribution
- PTO
- Tuition Reimbursement
- Well-Being Rewards
- Employee Assistance Program (EAP)
- Fertility Coverage, Healthy Pregnancy Program
- Flexible Spending & Commuter Accounts
- Pet, Home & Auto, Identity Theft and Legal Insurance
- Growth Opportunity and Workforce Development Initiatives
- Continuing Education / Onsite Training
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
