Billing Representative, Sr. - Saint Louis University in St. Louis Missouri

Unfortunately, this job is expired as of 3/22/2016.

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Saint Louis University

St. Louis, Missouri

United States

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Detailed Job Description

Under general supervision, monitors accuracy and efficiency of invoices and charges in edit and pending status; provides quarterly insurance updates to staff; maintains knowledge of Medicare compliance, billing codes, and rules and regulations; performs audits and in-services; assists with employee training and special projects; updates encounter forms in IDX and other department forms; serves as resource to faculty and staff.

Knowledge, Skills, Abilities, and Personal Characteristics

Knowledge of physician billing, reimbursement, and third party regulations
Knowledge of medical terminology
Knowledge of office practices and procedures
Knowledge of ICD/CPT coding
Interpersonal/human relations skills
Ability to maintain confidentiality
Ability to respond to questions in a tactful and professional manner
Ability to remain focused with continual work interruptions
Ability to organize and prioritize job duties

Minimum Qualifications

Associate’s degree in Medical Record Technology or related coursework; supplemented with two (2) years related experience. Required licensure/certification: Certified Professional Coder (CPC) through American Academy of Professional Coders, or Certified Coding Specialist (CCS), Accredited Record Technician or Registered Records Administrator through American Health Information Management Association.

Job Duties and Responsibilities

Utilizes proper coding and compliance methodology to audit inpatient and outpatient charges submitted by providers; identifies and corrects missing or incorrect codes and modifiers to ensure maximum reimbursement; applies knowledge of Medicare compliance, correct coding practices, and insurance requirements; and investigates questionable services and resolves Transaction Editing System edits.

Follows-up on focused Accounts Receivable issues as requested by supervisor or faculty; processes Third Party Reimbursements and provides information to Practice Management Operations to resolve and appeal claims; and troubleshoots insurance issues, denials, and authorization issues with office staff.

Works on special reports as requested by faculty (i.e. statistical information that tracks trends/usage of codes); and runs routine reports utilized in tracking and management of charges, edits, and reimbursements (i.e. Operating Room logs, exception reports, and inpatient charges).

Educates faculty and staff regarding billing and coding methodology; partners with the physicians to achieve highest level of reimbursements; attends compliance meetings; reviews new codes and trends for practice utilization; maintains personal accreditation; and participates in education opportunities to be of more value to the department.

Performs other duties as assigned; contributes to special projects; and participates in faculty meetings.

Keyword Phrases

  • Surg-Administration
  • Billing Representative, Sr.
  • Embrace inclusion in diversity
  • Jesuit institution
  • Research University
  • Medical Center Staff
  • Business and Financial Management
Employment Type:Administrative Staff
Degree Required: Associate
Experience: See Job Description
Level of Job: See Job Description
Salary: See Job Description
Type of School:Research University
Application Requirements: CV/Resume
Cover Letter