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Perioperative Charge Entry Specialist

2 months ago


Pontiac, Michigan, United States Trinity Health Full time
Employment Type:
Full timeShift:
Day Shift

Position Overview:
This role involves the meticulous entry of billing invoices specifically for Spine and Orthopedic services into the financial management system. It includes the valuation and reconciliation of surgical charges within the electronic health record system that are essential for revenue generation. Additionally, the position encompasses the entry of Anesthesia facility charges and conducting revenue audits.
I Key Responsibilities:

Accurately records charges for all perioperative hospital services, including Surgery, Endoscopy, and Anesthesia. Conducts audits, compiles, summarizes, and submits necessary documentation to the Anesthesia professional billing service. Responsible for the audit, verification, and entry of supply charges and implants related to perioperative services, generating balance sheets and invoices. Reviews account adjustments for accuracy and procedural compliance. Performs daily revenue reconciliation and prepares monthly internal audit reports for the Finance department. Additionally, enters all critical data elements recorded from procedures for reporting purposes.

II Required Qualifications:

A. Education


Completion of two years of college coursework in a medically related field or equivalent professional experience to acquire knowledge of medical terminology, anatomy/physiology, and familiarity with medications, abbreviations, and procedural charges.

B. Licensure / Certification Not Applicable

C. Special Skills / Aptitudes
  • Exceptional customer service skills to effectively interact with various levels of hospital personnel, external customers, and vendors. Ability to manage priorities in high-pressure situations.
  • Proficient understanding of medical terminology with accurate spelling of medical terms. Capable of typing at least 30 corrected words per minute.
  • Requires the ability to balance accounts and possess knowledge of claims processing, payments, and adjustments.
  • High work volume necessitates strong mathematical and analytical skills to reconcile accounts and resolve issues related to contractual payments, discounts, and outstanding balances.
  • Excellent computer skills, particularly in Microsoft Office Suite and mainframe data entry. Ability to interpret data and generate reports using various software applications.
  • Competence in operating standard office equipment (e.g., fax, calculator, photocopier).
  • Outstanding customer service skills essential for effective communication with hospital personnel, external customers, and community groups.
III Experience:

  • Three to five years of experience in patient accounting or managed care, preferably in perioperative operations.
  • At least six months of experience in perioperative billing is preferred.
  • Prior experience in posting cash and adjustments within a healthcare environment is advantageous.
IV Duties / Responsibilities:

Ensures compliance with federal, state, and hospital regulations for all transactions. Reviews account adjustments for accuracy and procedural integrity. Reports identified trends or issues to the supervisor. Generates daily and monthly audit reports to address revenue discrepancies. Analyzes and reports trends to ensure proper payments are received. Provides insights for performance improvement indicators. Conducts quality reviews and documents findings as required. Supplies data, reports, and documentation related to managed care issues, adjustments, and credit balances. Monitors various aspects of revenue cycle processing and documents findings for review. Accurately enters, verifies, and audits patient charges and post-operative data in a timely manner. Confirms with Patient Accounting and Third-Party vendors that patient charges have been successfully transmitted and processed. Collaborates to ensure accuracy of supply and charge information on departmental records. Communicates needs to the Business Manager as necessary. Maintains up-to-date knowledge of all organizational compliance policies and procedures and performs duties accordingly. Upholds confidentiality of all patient, department, hospital, and other sensitive information. Secures documents and information to ensure confidentiality. Works closely with System Specialist and Surgery Revenue Lead to reconcile all revenue-related issues.
  • Demonstrates and actively promotes an understanding and commitment to the mission of Trinity Health through behaviors consistent with the organization's values.
  • Maintains knowledge of applicable federal, state, and local laws and regulations, as well as the Trinity Health Organizational Integrity Program, including the Standards of Conduct and Code of Ethics, to ensure adherence in a manner that reflects honesty, ethics, and professionalism.
  • Conducts oneself in a manner consistent with customer service expectations.
  • Ensures appropriate charges are entered for the correct patient, encounter, and date/time of service, with any required modifiers, making corrections as necessary according to charge capture policies.
  • Actively participates in ongoing education and communication regarding revenue management.
  • Assists with tracking and monitoring of equipment assigned to the unit and requests maintenance services as needed.
  • Proficiently utilizes electronic health records for documentation, assessment, and care management, performing these activities concurrently with patient care throughout the shift.
V Working Conditions:

• Normal office environment.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.