Billing Specialist

2 weeks ago


Humble, Texas, United States Townsen Memorial Hospital Full time
Townsen Memorial Hospital is a recognized network of healthcare facilities focused on emergency services, outpatient surgical procedures, and diagnostic imaging. Our primary mission is to deliver compassionate, evidence-based medical care to our community. At Townsen Memorial, we embrace diversity, dignity, and inclusiveness as core values. We are dedicated to advancing innovative healthcare solutions for our patients, our communities, and each other.

Townsen Memorial Hospital is seeking a full-time Billing Specialist for our facility. The Billing Specialist is tasked with ensuring that all services rendered within the facility are accurately recorded and billed in a timely manner. This role is crucial for maintaining the integrity of patient medical information, particularly regarding billing and insurance details. The Billing Specialist will engage in various processes across multiple departments and will be integral to daily operations. Responsibilities include identifying, analyzing, and rectifying billing discrepancies through collaboration with supply chain and clinical teams.

KEY RESPONSIBILITIES:
  • Inputting billing and insurance information into the electronic system.
  • Overseeing the entry of patient demographics and securing necessary authorizations.
  • Accurately entering charge codes, surgical times, and surgeon details to ensure precise billing.
  • Initiating charge corrections as needed, determining corrective actions, and updating records to resolve billing errors.
  • Promptly communicating any identified inaccuracies or challenges to management to ensure compliance with policies and timely charge capture.
  • Conducting thorough reviews of documentation to substantiate charges, demonstrating a solid understanding of medical terminology and anatomy in line with coding and billing guidelines.
  • Verifying pricing accuracy upon receipt of purchase orders for billable supplies.
  • Receiving and processing charge tickets from various departments for supplies ordered from external vendors.
  • Requesting new charge codes from management to ensure accurate billing practices.
  • Reconciling charges daily to detect any missing entries and guarantee timely submission for services provided.
  • Proactively reviewing schedules and patient census to ensure all services are properly documented.
  • Effectively communicating with nursing staff regarding any missing or incomplete charges to facilitate resolution.
  • Utilizing appropriate reconciliation tools daily, including charge reconciliation reports and clinical documentation tools, to support compliant billing practices.
  • Assisting in monitoring billing compliance and participating in staff training sessions as necessary.
  • Contributing to the collection and summarization of data for special projects.
  • Performing additional duties as assigned by supervisory personnel.
QUALIFICATIONS:
  • Demonstrated ability to audit and review accounts for reimbursement, possessing knowledge of billing regulations and coding requirements.
EDUCATION:

High School Diploma or GED

BENEFITS:
  • Multiple Medical Plans
  • Dental and Vision Plans
  • Employee Assistance Program
  • Short-Term Disability Insurance
  • Accidental Death & Dismemberment Coverage
  • 401(k) Plan with a vesting period
  • Paid Time Off and Holidays
For further details, please visit our website.

Compensation will be determined based on the applicant's education, experience, skills, and alignment with market standards.
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