Billing Specialist, Revenue Cycle Coordinator

2 hours ago


Edinburg, Texas, United States DHR Health Full time
Job Title: Billing Specialist, Revenue Cycle Coordinator

Job Summary:

This role is responsible for collecting and scanning professional charges to the revenue cycle department for charge entry, over-the-counter collections, and financial activities of all patient accounts. The ideal candidate will have excellent customer service skills, computer skills, and knowledge of Microsoft Office suite.

Responsibilities:

  • Prepares and scans clinic visits batch in the following order: Billing Log Cover Sheet, Patient Schedule, Sign-In Sheet, Daily Deposit Summary Report, Bank Deposit Slip, Bank Deposit Confirmation, Paragon payment batch report, Daily reconciliation, Credit Card Settlement report, Payment tracking log, and Super bill diagnosis and CPT codes.
  • Verifies the CPT Code, Appropriate Modifiers, Diagnosis, and Referring Physician are documented on the Hospital Face sheet.
  • Scans the batch and labels it according to the Standard Naming convention.
  • Communicates with providers for CPT code, diagnosis, or modifier clarification.
  • Understands how to calculate Self-pays rates and process agreement form.
  • Understands how to use ENCODER Pro.
  • Understands Local Coverage Determination (LCD) and Medical Necessity.
  • Knows the process for financial counseling referral to assist patients.
  • Understands how to communicate payments on account (POA) and payments for pre-paid surgery (PPS).

Requirements:

  • High School/GED preferred.
  • Medical Office Specialist certificate, preferred.
  • Excellent customer service skills.
  • Computer skills required with knowledge of Microsoft Office suite, Internet.
  • EMR experience preferred.
  • Good written and verbal communication skills required.
  • Bilingual - English/Spanish preferred.
  • Two (2) years experience in a physician or hospital business office.
  • Experience working with Excel spreadsheet is required.

Working Conditions:

The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes.

Aptitudes:

High Low

Intelligence: General learning ability, Verbal, Numerical, Spatial, Form Perception, Clerical Perception, Motor Coordination, Finger Dexterity, Manual Dexterity, Eye-Hand-Foot Coordination, Color Discrimination.



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