Revenue/Procurement Specialist

Presbyterian Healthcare Services

7d • $16 - $23 • Onsite

About The Position

Build your Career. Make a Difference. Presbyterian is hiring a skilled Revenue/Procurement Specialist.

Requirements

• High School diploma and 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.

Nice To Haves

• Knowledge of medical terminology and MS office and Medipac preferred.

Responsibilities

• Revenue specialist is the primary responsibility which consists of 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.
• Responsible for entering patient charges, reviewing and reconciling daily posting transaction reports to ensure completeness and accuracy of all charge entries for PINC patients.
• Responsible for monitoring changes to the individual charge masters within his/her respective business unit.
• Communicates 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
• Responsible for reviewing, updating and posting charges .
• Responsible for 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

Benefits

• All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being.
• Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED