Physician Billing Coordinator, Neurology, FT, Days

Prisma Health•Columbia, SC

22h•Onsite

About The Position

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for the accurate and timely posting of all charges, payments, adjustments and denials into the Practice Management System. Balances totals of all financial activity posted to patient accounts prior to daily close. Performs daily closing of assigned datasets and provide appropriate documentation to be archived. Generates patient statement and insurance claim files as instructed. Transmits batches electronically according to established procedures. Facilitates processing of all active claims and statements. Performs account collections. Provides customer service for patient account inquiries. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Posts all charges, payments, adjustments and denials. Perform daily close out procedures and advance the date in the Practice Management System. Creates claim batches and processes them via electronic submission. Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections and resubmit. Transfers open items to secondary insurance when appropriate. Utilizes appropriate codes when posting charges into the Practice Management System. Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers. Captures information from patient’s medical record when necessary to properly code both procedures and diagnoses. Receives and answers telephone and written inquiries regarding patient accounts. Explain payment and settlement process to patient and third-party payers. Review past due accounts and prepare for bad debt write off. Contacts insurance carriers and/or patients for immediate payment. Set up payment arrangements according to established guidelines when necessary. Provides duplicate billings, coordination of benefit information and medical records when need to expedite payment of open items. Identify accounts with credit balances and process refund check requests. Monitors claims for appropriate processing. Submit appeals correspondence to third party payers when claim processed incorrectly. Posts comments on patient account to reflect all actions made. Effectively utilize time and resources in order to meet performance goals. Communicates billing related issues to Billing Manager. Performs other duties as assigned.

Requirements

High School diploma or equivalent OR post-high school diploma / highest degree earned
Two (2) years related experience
Computer literate.
Familiar with general charge entry procedures
Problem-solving capabilities
Working knowledge of ICD-9, CPT, NCCI and Medicare LCDs
Familiar with modifier application and standard billing regulations
Ability to read and comprehend insurance remits
Ability to communicate well with others

Nice To Haves

Experience with current Practice Management System preferred.

Responsibilities

Posts all charges, payments, adjustments and denials.
Perform daily close out procedures and advance the date in the Practice Management System.
Creates claim batches and processes them via electronic submission.
Manually process any claims that are not eligible for electronic billing.
Identify any claims that need attention, make corrections and resubmit.
Transfers open items to secondary insurance when appropriate.
Utilizes appropriate codes when posting charges into the Practice Management System.
Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers.
Captures information from patient’s medical record when necessary to properly code both procedures and diagnoses.
Receives and answers telephone and written inquiries regarding patient accounts.
Explain payment and settlement process to patient and third-party payers.
Review past due accounts and prepare for bad debt write off.
Contacts insurance carriers and/or patients for immediate payment.
Set up payment arrangements according to established guidelines when necessary.
Provides duplicate billings, coordination of benefit information and medical records when need to expedite payment of open items.
Identify accounts with credit balances and process refund check requests.
Monitors claims for appropriate processing.
Submit appeals correspondence to third party payers when claim processed incorrectly.
Posts comments on patient account to reflect all actions made.
Effectively utilize time and resources in order to meet performance goals.
Communicates billing related issues to Billing Manager.
Performs other duties as assigned.