Responsible of the reconciliation of daily census reports with incoming charges to ensure all revenue has been captured. Accurately posts charges for provider services in a timely manner, reviews and verifies appropriate usage of modifiers, diagnosis, and CPT-4 codes to ensure appropriate reimbursement. Demonstrates flexibility in scheduled hours to ensure all charges are posted daily and at month end to meet department goals. Analyzes patient initial visits and physician rounding sheets daily for physician coding. Capture correct information for entering charges. Follow-up with incoming and outgoing departmental mail. Interacts with FPG Physicians, Office Managers CBO staff and other appropriate SMH staff to review charge posting issues. Responsible for keeping abreast of and complying with all third-party regulations. Manages all correspondence and all communications in a timely manner. Job knowledge is section specific. Ability to demonstrate Customer Service Recovery, be flexible and adapt to changes in growth within the CBO Department.
- Require four (4) years of experience with Medicare, Medicaid, and commercial revenue and charge capture.
- Require an associate degree. High School diploma with five years of relevant Patient Financial Services or related experience can be considered in lieu of degree requirement.
- Prefer competence in three (3) or more functional areas (Billing, Collections, Customer Service, and Registration).
- Prefer the ability to manage multiple tasks and priorities in a high-volume setting.
- Prefer demonstrated excellent oral and written communication skills.
- Prefer general knowledge of ICD-10 and CPT coding.
- Prefer knowledge of Patient Management software application, as well as skilled in all Microsoft Office software programs (Word, Excel, Outlook, PowerPoint, Access)
- Prefer demonstrated ability to analyze problems and consistently follow through to resolution.
- Prefer the ability to establish and maintain effective working relationships.
- Prefer demonstrated ability to take initiative, self-direct, and work with little to no supervision while meeting departmental goals.
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