At Physicians Endoscopy, or PE as we are also known, we foster an environment of contribution, creativity and risk-taking. We strive to unleash the potential in everyone and cultivate a highly engaged, motivated, and committed organization!
This is a chance for YOU to become a part of a growing company, focused on patient care, preventing colon cancer and raising awareness! Our unique culture of innovation creates an environment where you will continually grow and be challenged to develop your career. PE is a passionate believer in patient care, which is why our mission is Improving the landscape of healthcare one surgery center at a time.
PE is searching for a dynamic Billing Support Coordinator / Customer Service Rep to join our team!
This person is responsible for the entry of charges and/or posting of payments into the billing system. They will ensure that charges and payments are entered accurately, consistently, and in a timely fashion. Responsible for adjusting accounts as appropriate with accuracy and consistently according to payer contracts. Also responsible for performing quality assurance audits for various centers with respect to accurate coding and entry of insurance information into the billing system.
ESSENTIAL DUTIES AND RESPONSIBILITIES (Other duties may be assigned)
Responsible for entering charges into billing system on a daily basis.
Responsible for reviewing codes to ensure accuracy per payer requirements.
Refer to clinical reports to confirm accuracy of codes (diagnosis codes & CPT codes).
Understand the contracted rates for payers by referencing insurance contracts within Advantx as well as the reimbursement/payer matrix saved on the shared drive (CBO folder).
Notify appropriate center staff and manager when CPT codes do not appear to agree with clinical report. Preferable mode of communication is email. It is acceptable for the BSC to provide feedback and suggestions, but the final codes are determined by the center (physicians).
Post payments in Advantx on a daily basis.
Understand the use of journal codes within Advantx to properly post payments.
Open and close batches within Advantx as appropriate.
Post from electronic images to maximize efficiencies in the department/company. Able to retrieve information from work flow manager (currently Docushare).
Notify the AR Representative, as appropriate, upon receipt of correspondence &/or rejections
Notify Billing Manager, as well as center designated AR Representative, if trend of incorrect payments is identified.
Patient Account Adjustments
Assist AR Representatives on a weekly basis by discussing payment/charge entry issues.
Perform adjustments to accounts as needed, including contractual adjustments and write-offs.
Ensure that proper documentation supports adjustments (Supervisor/Manager approval).
Communicate any concerns regarding adjustments to Billing Manager, AR Supervisor, and/or VP Billing Services.
Quality Assurance Audits
Perform Center QA audits as a support/training feature that is not intended to replace Billing/Coding Audits performed by an external party. The QA audits are done on a daily basis for newer centers and less frequently for more established centers. Timing of audits is determined by Billing Manager & Center Administration.
Review clinical reports for accuracy and completeness of CPT codes and diagnosis codes.
Review insurance information entered into Advantx compared with the electronic image of the patients insurance card. Ensure that all information is accurate and complete.
Enter the data into the QA sheet saved on the shared drive in the CBO folder. When appropriate, notify the administrator and Billing Manager of any issues (email).
Discuss concerns with coding and or entry of insurance/patient information with center staff when appropriate.
Month End Close
Enter all adjustments prior to month end closing procedures.
Post all refunds prior to month end closing procedures.
Ensure that charges and payments are entered into the system, accurately, consistently and in a timely fashion.
Perform month end calculations to ensure that Advantx payments and lockbox payment totals reconcile.
Assist with patient phone calls and/or follow up on accounts as requested by Manager/Supervisor.
Utilize resources available to remain informed on code updates, payer changes, etc. Communicate any appropriate information to the Billing Department and center staffNECESSARY SKILLS and ABILITIES
Excellent written and verbal communication skills
Must enjoy working in a team environment
Ability to complete tasks in a timely manner according to established deadlines
Excellent computer skills including Excel, Word, and financial software packages as needed
Highly organized and strong attention to detail
Ability to multi-task and meet deadlines.
REQUIRED EDUCATIONAL BACKGROUND and/or EXPERIENCE
The successful candidate will have the following experience or knowledge in the following areas:
High school diploma or equivalent.
Previous experience entering healthcare information, including posting payments and charges,
Proficient in Microsoft Office computer programs.