Description

Responsible for the data entry of charges into RHMS billing system, verification of patient insurance and demographic information, updating system and doing authorization and eligibility checks whenever necessary.

Responsibilities:

• Accepts responsibility for personal and professional growth. Attends departmentmeetings (unless otherwise excused). Participates in RHMS and/or Hamot activities and inservices. Maintains documentation of attendance of annual training, mandatory education and age specific criteria. Arrives at workstation ready to work at scheduled time, i.e., start of shift, breaks, lunch, etc. Demonstrates Hamot's 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 RHMS 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 insure clean claims processing.Keep abreast of third party payer updates and changes as to how it 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, Supervisor, Physician Practice Staff and other Departments. Accurately prioritizes information and refers it to appropriate personnel. Maintains confidentiality with respect to any and all information learned through performing this role.

Qualifications

• High-school Diploma or equivalent required
• Two years billing/accounts receivable experience in Healthcare facility or Physician office setting, preferred.
• Knowledge of ICD-9/10 & CPT Coding and Medical Terminology, preferred.
• Operating knowledge of basic business office equipment.
• Demonstrated proficiency in working on computer systems.
• EPIC knowledge preferred.
• This position typically reports to Billing Supervisor

Licensure, Certifications, and Clearances:

• Act 31 Child Abuse Reporting with renewal
• Act 33 with renewal
• Act 34 with renewal
• Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran 

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