Physician Billing Coordinator, Psychiatry, FT, Days Job Listing at Prisma Health in Columbia, SC (Job ID R1099567)

Description

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. Balance totals of all financial activity posted to patient accounts prior to daily close. Perform daily closing of assigned datasets and provide appropriate documentation to be archived. Generate patient statement and insurance claim files as instructed. Transmit batches electronically according to established procedures. Facilitate processing of all active claims and statements. Perform account collections. Provide customer service for patient account inquiries. All employees are expected to be knowledgeable and compliant with Palmetto Health's values of compassion, dignity, excellence, integrity and teamwork.

Accountabilities

* Accurately post all charges, payments, adjustments and denials. Perform daily close out procedures and advance

   the date in the Practice Management System.

* Create claim batches and process 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.

* Transfer open items to secondary insurance when appropriate.

* Utilize 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.

* Capture information from patient's medical record when necessary to properly code both procedures and diagnoses.

* Receive and answer 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.

* Contact insurance carriers and/or patients for immediate payment.  Set up payment arrangements according to     

   established guidelines when necessary.

* Provide 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.

* Monitor claims for appropriate processing. Submit appeals correspondence to third party payers when claim         

   processed incorrectly.

* Post comments on patient account to reflect all actions made. Effectively utilize time and resources in order to meet

   performance goals.

* Clearly communicate any billing related issues to Billing Manager. Maintain current knowledge of departmental and

   organizational policies.

* Performs other duties as assigned.

Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Education

High School diploma or equivalent OR post-high school diploma / highest degree earned

Minimum Experience

3+ years related experience

Other Required Skills

Must be computer literate; prefer experience with current Practice Management System; must be dependable and self motivating; must be familiar with general charge entry procedures; ability to work independently with problem solving capabilities; extensive working knowledge of ICD-9, CPT, NCCI and Medicare LCDs; must be familiar with modifier application and standard billing regulations; must have the ability to read and comprehend insurance remits; must be able to communicate well with others.

Work Shift

Day (United States of America)

Location

1301 Taylor St Baptist

Facility

3530 Psychiatry Administration

Department

35301000 Psychiatry Administration-Practice Operations

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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