Billing Support Specialist - Anesthesiology

Overview

Billing Support Specialist - Stony Brook Anesthesiology, UFPC  

Location: Stony Brook, NY

Schedule: Full Time

Days/Hours: Monday to Friday varying hours from 7:30am to 5:30pm

Pay: $23.00 - $28.74

Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education, and the current market for the position. Human Resources determines the external and internal equitable salary for each employee.  The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting 

Responsibilities

SUMMARY: Capture missing charges and clear claims that are in holding, assist CPMP Central Billing Office is resolving denials. Review system for unprocessed claims/unpaid claims.

• Using EMR, review charts and send messages to physicians providing specific information required for completing charts.
• Capture missing charges in Patient Keeper 
• Maintain work files for coding and billing errors 
• Review task manager for insurance denials 
• Identify reimbursement issues - Review payer payments –Review Explanation of Benefit documentation.
• Prepare billing error corrections.
• Reconcile visits per schedule with completed coding and identify any unbilled visits.
• Enter coding data into the Patient Keeper billing interface.
• Provide data to CPMP Patient Accounts as requested for patient inquiries.
• Analyze, code and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement.
• Resolve discrepancies on coding-related issues.
• Maintain PK files for validity errors.
• Monitor TES Open Encounter file.
• Perform all other duties as assigned by management.
• Complete special department/physician projects.

Qualifications

Required Qualifications :

• High School Diploma/GED
• Minimum of three years of medical billing related experience in a physician’s office.
• Computer literate with knowledge of medical insurance policies, reimbursement and medical terminology.
• Experience with Electronic Medical Record system.
• Working knowledge of coding requirements
• Must be proficient in Microsoft Office Word and Excel
• Healthcare experience

Preferred Qualifications:

• Bachelor’s degree
• Medical Billing & Coding Certificate.

Responsibilities

SUMMARY: Capture missing charges and clear claims that are in holding, assist CPMP Central Billing Office is resolving denials. Review system for unprocessed claims/unpaid claims.
- Using EMR, review charts and send messages to physicians providing specific information required for completing charts.
- Capture missing charges in Patient Keeper 
- Maintain work files for coding and billing errors 
- Review task manager for insurance denials 
- Identify reimbursement issues - Review payer payments –Review Explanation of Benefit documentation.
- Prepare billing error corrections.
- Reconcile visits per schedule with completed coding and identify any unbilled visits.
- Enter coding data into the Patient Keeper billing interface.
- Provide data to CPMP Patient Accounts as requested for patient inquiries.
- Analyze, code and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement.
- Resolve discrepancies on coding-related issues.
- Maintain PK files for validity errors.
- Monitor TES Open Encounter file.
- Perform all other duties as assigned by management.
- Complete special department/physician projects.