Purpose: Responsible for the data entry of charges into the billing system, verification of patient insurance and demographic information, updating the system, and doing authorization and eligibility checks whenever necessary.
Responsibilities:
Accepts responsibility for personal and professional growth. Attends department meetings (unless otherwise excused). Participates in department systems and/or BU activities and in-services. Maintains documentation of attendance of annual training, mandatory education, and age-specific criteria. Arrives at workstation ready to work at the scheduled time, i.e., the start of shift, breaks, lunch, etc. Demonstrates commitment to service excellence by understanding the needs of patients, their families, physicians, and co-workers and doing what is required the first time, every time by being responsible, sensitive, accurate, timely, coordinated, and thorough.
Accountable for timely, accurate data entry of professional charges into the computer system. Reconciles and balances all batch charge entries at the end of the day. Exhibits accuracy in the registering of demographic and insurance information to ensure clean claims processing. Keep abreast of third-party payer updates and changes as to how they would affect charge entry, notifying appropriate personnel of potential system changes that may be needed to avoid claim denials. Demonstrates the ability to meet the needs of both the customer and co-workers in a caring, competent manner acting as an information resource to others. Coordinates the flow of communication regarding any third-party payer updates and/or changes between other Billing Specialists, Supervisors, Physician Practice Staff, and other Departments. Accurately prioritizes information and refers it to appropriate personnel. Maintains confidentiality concerning any information learned through performing this role.
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