What are the responsibilities and job description for the Special Biller | Business Group Team 11 - Orthopedics | Days | Full-Time position at UF Health?
Overview
Responsible for obtaining appropriate demographic and financial information. Registers patients and completes necessary documentation. Add or update patient histories as needed. Research charges for appropriate carrier code and financial class. Code and key physicians' charges into automated billing system program. Utilize resources and tools in the resolution of invoices following Company Policy for assigned special projects, payors, and/or place of service. Resolving outstanding balances with communication with internal and external personnel. Responsible for handling specialized accounts from charge through payment.
Responsibilities
Qualifications
Responsible for obtaining appropriate demographic and financial information. Registers patients and completes necessary documentation. Add or update patient histories as needed. Research charges for appropriate carrier code and financial class. Code and key physicians' charges into automated billing system program. Utilize resources and tools in the resolution of invoices following Company Policy for assigned special projects, payors, and/or place of service. Resolving outstanding balances with communication with internal and external personnel. Responsible for handling specialized accounts from charge through payment.
Responsibilities
Verify completeness of registration information. Add and/or
update as needed, Verify and/or Assign financial class and
code appropriately, Verify and Enter patient demographic
information utilizing automated billing system, Verify
Insurance coverage utilizing various online software tools.
Ability to work overtime as needed based on the needs of the
business.
Verify and enter appropriate billing information utilizing facility
computer systems. Verify and/or Assign CPT, ICD-10 and
Modifier codes are utilized for each patient encounter, as
needed. Verify and/or Assign Key Data Elements for charge
entry such as; Location Codes, Provider #'s, Authorization #'s,
Referring Physician, code and enter charges, as needed.
Inform Team Leader on the status of work and unresolved
issues. Alert Team Leader of backlogs or issues requiring
immediate attention, as well as any unresolved issues.
Contact insurance companies to ascertain the status of
claims and identify additional information needed. Research
and take appropriate action in regards to refunds, charge
corrections, etc. with the ability to identify refund trends, as
assigned. Review and work assigned WQs on a daily basis to
make any corrections, resolve edits, and submit to the payor.
Work A/R, including correspondence. Documents notes in the
automated billing system regarding patient inquiries,
conversations with insurance companies, clinics, etc. for all
actions.
Identify payor issues. Review PSR requests and determine
course of action.
Ability to recognize when a referring provider, authorization
and/or a referral is needed and perform necessary research
to identify same, utilizing other EMR systems, web portals, as
needed. Knowledgeable regarding process to have a new
provider added to EPIC.
Qualifications
Experience Requirements:
3 years- Health care experience in medical billing or related position preferred
3 years - Computer experience in medical billing - preferred
3 years -Medical Billing system- preferred
Education:
High School Diploma - required
Associates Degree - preferred Training - Medical Terminology Course preferred
Additional Duties: All other duties as assigned
UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE