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Healthcare Billing Specialist
2 months ago
Overview:
The Healthcare Billing Specialist is accountable for the precise collection and documentation of payments received for services provided. This role may involve verifying insurance details.
Key Responsibilities:
- Exhibits proficiency in the relevant OneCHRISTUS Competencies: Self-Leadership, Leadership of Others, or Leadership of Leaders.
- Ensures accurate processing of charge tickets as patients depart the facility.
- Reviews and codes tickets for precision and completeness, determines applicable fees for services rendered, calculates totals, collects the correct amount from patients, and accurately records information.
- Maintains appropriate cash levels; balances cash drawer in accordance with company protocols; reconciles daily coding input with actual monetary deposits.
- May be tasked with entering charge information, including hospital or satellite services, into an online entry system.
- Collaborates with colleagues to follow up on accounts until balances are resolved or accounts are referred for collection, adhering to collection policies.
- Directs patients to supervisors or Accounts Receivable representatives for clarification or discussion regarding accounts and/or payment terms, following collection policy guidelines.
- Operates and maintains credit and collection equipment while ensuring an adequate supply inventory.
- Assists with coding and resolving discrepancies.
- Provides patient education regarding insurance plans.
- May manage files containing referral slips, insurance documents, and waivers.
- May assist in the referral process.
- Adheres to CHRISTUS guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), aimed at preventing or detecting unauthorized disclosure of Protected Health Information (PHI).
- Maintains strict confidentiality.
- Utilizes effective oral and written communication skills to convey ideas clearly and positively, in alignment with the CHRISTUS Mission.
- Follows established CHRISTUS policies, procedures, objectives, quality assurance, safety, environmental, and infection control standards.
- Implements job responsibilities in a manner consistent with the CHRISTUS Mission and Code of Ethics, while supporting CHRISTUS's cultural diversity objectives.
- Supports and adheres to the CHRISTUS Service Guarantee.
- Operates telephone, computer, copier, fax machine, and 10-key calculators proficiently.
- Possesses strong mathematical and communication skills.
- Performs other related duties as necessary.
Qualifications:
- High school diploma or equivalent is required.
- A minimum of one year of billing experience, including ICD9, CPT, and HCPCS coding in a healthcare setting, is required.
Work Schedule:
8AM - 5PM, Monday to Friday
Employment Type:
Full-Time
EEO Compliance:
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