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Perioperative Billing Analyst

4 months ago

Philadelphia, United States MetaSense Inc Full time
Job DescriptionJob Description

Duties:
***EPIC billing experience is required please submit candidates who have EPIC billing experience. Experience with Epic OpTime, OR Billing and GI billing are highly preferred. Position has the possibility of extension/temp to perm***

Job Summary:
Supports the Perioperative Business/Resource Manager, Perioperative Directors, Nurse Managers, and their staff by performing clerical and administrative functions to ensure that all patient billing is completed in a timely and accurate manner.


Job Responsibilities:
1. Accurately, and in a timely manner, enters daily charges for all procedures completed in the OR, GI, SDU, Sedation and at the bedside. This includes all locations of the organization i.e. Philadelphia, King of Prussia, Abington, Bucks, Brandywine Valley, Virtua and Voorhees.
Reviews all charge sheets and validates them against the case that was performed in the OR. This includes implants, supplies and any services that may have been performed by an outside vendor i.e. IONM, ATS, ESWL. Tissue Tracker is another resource for implant discrepancies.
Checks EPIC reports and indicates which cases are anesthesia only cases.
Reviews flowsheet, op report and anesthesia report to accurately account for what was performed so that the proper charges are triggered.
Enter patient charges on a daily basis into EPIC Optime, EPIC Anesthesia, EPIC Cadence.
Once patient logs have been posted for the day then all the necessary work queues will need to be reviewed and triggered.
2. On a daily basis, retrieves all necessary reports from EPIC to accurately post charges.
Checks daily reports against prior days entries to ensure that all entries have been made and have been posted in both EPIC and Provations.
Maintains an organized filing system so that charge sheets may be accessed if necessary, for the prior three (3) months period.
3. Identify problems and resolves them independently.
If a discrepancy occurs, phone calls or emails are sent to the appropriate staff to determine reason for problem.
Makes necessary corrections, if possible, or locates the appropriate department to correct the problem i.e. OR, GI, SDU, Sedation, Anesthesia, PACU, Revenue Integrity, IS, Finance, Admissions.
4. Works with Revenue Integrity and Supply Chain to ensure that inventory prices are consistent with any price changes incurred by the Hospital.
Maintains price listings of OR equipment and indicates any change in price accurately.
Works closely with Supply Chain to ensure that the most up-to-date pricing is used in patient billing.
Is liaison between the OR and Revenue Integrity to ensure that all billing is accurate, complete and submitted in a timely manner.
5. Works with Perioperative Management Team to identify cost recovery and cost reduction strategies.
Analyzes Billing Reports for all supporting areas.
Makes recommendations for improving systems.
Develops tracking mechanisms to prevent loss of revenue due to missing or incorrect entry of patients.
6. Serves as a Billing resource.
Works with Business/Resource Manager to effectively eliminate any billing or potential billing problems that arise.
Responsible for ongoing training of new staff.
Enters requisitions for any implants, supplies or capital.
Takes receipt and coordinates the delivery of any specific order requests for upcoming cases.
7. Acts as backup person for department personnel.
Helps cover front office when there is not enough staff coverage.


Skills:
***EPIC billing experience is required. Please submit candidates who have EPIC billing experience.

Experience with Epic OpTime, OR Billing and GI billing are highly preferred.

Proficient in all Microsoft Office applications, including Excel, Outlook, PowerPoint and Word.
Must possess the following qualities: excellent communications skills, interpersonal and organizational skills, attentiveness to detail, problem-solving abilities, customer service oriented and ability to handle confidential information.

Required Licenses, Certifications, Registrations:

None


Required Education and Experience:
High school diploma or equivalent.


Required Experience:
Work experience with charge capture preferred.
Knowledge of EPIC Systems preferred.

Preferred Experience:

work experience with charge capture preferred.

Knowledge of EPIC platforms such as Optime and Anesthesia