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University of Rochester UHS Medical Billing Specialist - Charge Entry - 225907 in Rochester, New York

UHS Medical Billing Specialist - Charge Entry

Job ID

225907

Location

Central Administration

Full/Part Time

Full-Time

Favorite Job

Regular/Temporary

Regular

Opening

Full Time 40 hours Grade 008 University Health Service

Responsibilities

POSITION SUMMARY:

Lead medical billing and payment specialist. Provides direct patient interaction for all types of University Health Service patients, leading office charge entry functions in addition to handling cash, check and charge payments. The position requires a high level of medical coding knowledge, billing expertise, HIPAA proficiency and understanding of the unique health requirements and insurance programs of the university community.

REPORTS TO:

UHS Billing Practice Manager/Insurance Specialist.

MACHINES AND EQUIPMENT USED:

Standard office equipment including computers and software, fax and telephone.

SPECIFIC RESPONSIBILITIES:

With minimal direction and with some latitude for independent judgment performs charge entry functions. Responsible for effective coding and claim submission to maximize practice revenue collection.

  1. Enters professional medical charges timely and accurately in the electronic billing system. Independently reviews and researches medical documentation within the EMR to accurately bill encounters, procedures and supplies. Abstracts medical information to identify appropriate diagnosis and procedure codes. Provides advanced support on medical coding to the UHS provider team.

  2. Creates batches from records of closed encounters. Verifies the completeness and accuracy of all information including patient demographics, insurance company data, diagnosis, modifiers and procedures provided. Resolves information discrepancies using internal and external sources. Collects missing data, corrects registration and coding errors accordingly.

  3. Troubleshoots billing system entries to assure acceptance by insurance carrier. Corrects problems resulting in claim denials.

  4. Collaborates with office staff to assure collection of unpaid, underpaid and denied claims following insurance carrier processing.

  5. Collects and documents patient payments, ensuring payments received at the time of service are recorded and balanced. Balances daily batches, preparing deposit tickets of collections. Resolves discrepancies.

  6. Serves as point of contact for patient billing questions, answering procedural and process questions for all staff, researching complicated accounts and patient complaints through resolution.

  7. Other similar duties as required: Provides coverage for all other office reception duties as needed. Provide check-in coverage for UHS Clinic events occasionally including evenings and/or weekends. Manages monthly reports for no show patients & un-billed services. Additional billing review as assigned. Participates in continuous performance improvement and accreditation activities.

    QUALIFICATIONS:

Two years post high school education and at least two years practical experience in medical office insurance and billing; solid knowledge of medical terminology and medical office coding for ambulatory care, or an equivalent combination of education and experience. Excellent communication and organizational skills; meticulous attention to detail and accuracy in all tasks. Demonstrates excellence in customer service, the ability to work with people both in person and by phone; knowledge of the University health plans for student, faculty and staff essential. Demonstrated competence with computers and software systems including Microsoft Office, electronic health records, and secure web functions.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

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