Senior Billing Specialist
1 week ago
Penn Medicine is a leading academic medical center dedicated to providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Job Summary:As a Senior Billing Specialist, you will play a critical role in ensuring the accurate and timely billing of patient services. You will be responsible for reviewing all charges, both technical and professional, for the Department of Radiation Oncology, prior to billing from both the EPIC system and the ARIA system.
Responsibilities:- Code and bill select services as required.
- Enter charges and charge corrections directly into Aria and EPIC.
- Follow up with RAD ONC (internal) and HCBO/PBO (external) department to obtain information required for billing.
- Print, review, and prioritize treatments and simulations on a daily basis.
- Perform manual updates to patient, insurance demographic fields and DX codes in Aria V15.5 and EPIC.
- Reconcile exported charges to posted charges monthly.
- Monitor various interfaces to make sure charges are being exported from ARIA to EPIC.
- Screen inpatient vs. outpatient status of all patients using EPIC to ensure that the correct HAR is being selected in ARIA for charge capture through the interface.
- Review all dosimetry and physics charges in Aria for release to EPIC.
- Follow up with dosimetry and physics regarding outstanding documents that need approval.
- Work with the Hospital Billing Office to manage all documentation requests as they relate to rejected claims.
- Compile all documentation necessary for internal and external audits.
- Manually charge corrects billing errors for dosimetry and physics directly in V15.5 ARIA.
- Monitor the Charge Error list.
- Monitor and identify unbillable charges and add those charges to the Unbillable Log as to further identify billing errors to report out to Practice Manager.
- Handle all professional and technical Rad Onc work queue edits in EPIC.
- Implement and support all new billing processes with office colleagues to ensure continuity with UPHS/Rad Onc billing/collection standards.
- Responsible for the daily review of all dosimetry and physics charges.
- Backup for all treatment charges.
- Interfaces with Physicians, Physics and Dosimetry on a daily basis to ensure all documentation is correct for billing.
- Pulls all documentation and assembles packets for RAC Audits.
- H.S. Diploma/GED (Required)
- And 5+ years Recent prior experience in healthcare billing environment (Required)
- And 1+ years Thorough knowledge of third-party insurance coverage guidelines (Required)
- And 1+ years Highly organized, with efficient work habits in a multi-tasked environment (Required)
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