Hospital Billing Specialist

POSITION SUMMARY :

This position is responsible for posting physician charges preformed in a hospital facility and confirming and verifying that the charges are entered into the system with the correct CPT and diagnoses codes.

ESSENTIAL JOB DUTIES :

• Integrates charges into Cardiac Solutions system.
• Registers patients in EMR system.
• Verifies all insurances; primary and secondary.
• Confirms charges are entered into the system with correct CPT and diagnoses codes before approving.
• Reads and understands all procedure notes before approving charges to assure they are billed correctly.
• Calls insurance companies to obtain necessary information if it cannot be gathered from the web site.
• Work VA claims, print HCFA, pull report, Scan, and mail out claim.
• Re-verify Self-pay patients weekly.
• Contacts patients to update insurance as needed.
• Obtaining authorization for certain procedure codes when applicable.
• Complete a batch within the 3-day protocol required.
• Work with other inner office departments as needed.
• Other duties as assigned per the need of the organization and within scope of position.

Position Requirements

KNOWLEDGE, SKILLS AND ABILITIES :

EDUCATION AND / OR EXPERIENCE :

PHYSICAL DEMANDS / WORK ENVIRONMENT :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the following physical / work environment functions apply :