Career Center
Storrs, Connecticut
Cincinnati, Ohio
Durham, North Carolina
Cincinnati, Ohio
Cincinnati, Ohio
Queens, New York
Cincinnati, Ohio
Cincinnati, Ohio
Cincinnati, Ohio
Posted: 24-Jan-23
Location: Lewes, Delaware
Salary: Open
Internal Number: 7145
Summary:
Responsible for reviewing bill holds, Aurora worklists, and other reports identifying pre-billing deficiencies connected to Registration, Medical Necessity, Authorizations, Diagnoses, etc. Makes inquiries, resolves deficiencies, and identifies opportunities for improvement in front end registration to avoid errors in future. Partners with Patient Financial Services, and Patient Billing Services to ensure revenue integrity.
Other information: 3 or more years in hospital or physician business office environment. Knowledge of medical terminology, computer utilization, and relevant experience with billing and coding preferred. Proficient computer skills. HS Graduate or equivalent.
Responsibilities: Reviews Aurora Bill Hold Worklists, researches and resolves bill hold. Performs daily audits and reports review. Analyzes data for trends and prepares dashboards for Leadership. Utilizes Invision, Cerner, SCI, Aurora and other applications or systems within Registration/Patient Access to research, review and resolve denials and other bill holds. Works with Business Services, investigating denials, writing letters of appeal, addressing Medical necessity to capture lost revenue. Assures accuracy and updates of CDM/CPT numbers and codes. Educate staff, in partnership with QA Training Unit, on procedure updates and the billing process. Maintains daily data reports when needed Resource for CMS CDM/CPT and private payors on up to date policies and rulings. Other duties.
Location: Bayview 33672 Bayview Drive Bldg C-BMC
Shift :
FTE: 1.000000
Work Status: Full Time
