Senior Billing Support Specialist
Senior Billing Support Specialist
Posted on :
15-03-2025
Employer Active
1 Vacancy
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Job Description
Summary
Position Summary
Provides billing support for the Advanced Diagnostic Laboratories (ADx) at NJH. Responsible for coordinating and monitoring the flow of billing data within the clinical laboratory departments and other information system databases. Analyzes and evaluates clinical financial data recognizes inconsistencies and initiates the resolution of billing problems. Immediately resolve billing inconsistencies and delinquent data. Implements billing plans designed to meet timely billing deadlines. Acts as liaison between ADx and the Patient Financial Services (PFS) Department to facilitate problem solving. Responsible for billing data diagnosis discharge and exception reports generated by the billing information systems to promote accurate financial billing.
Essential Duties
- Establishes and improves ADx financial policies and procedures. Ensures that ADx complies with all College of American Pathologists (CAP) and HIPAA requirements.
- Pulls utilization and financial data from LIS and HIS for decision support.
- Performs database surveillance and maintenance for all billing applications and interfaces. Maintains high standards of performance for operation of all Detailed Financial Transactions (DFTs). Monitors billing interfaces. Reconciles price and CPT changes for reference lab testing.
- Monitors accounts Receivable (AR) and ensures all reporting occurs on time.
- Liaison with key AR accounts who require documentation above and beyond normal processes to ensure specific requirements are completed timely to ensure payment.
- Investigates new and emerging CPT coding that will enhance the billing in the LIS including but not limited to DRGs CPTs 837 (Medicare exception report) and timely billing practices.
- Uses LIS and HIS auditing reports to verify the accuracy of patient and client billing.
- Responsible for error reports (EXR/SIN/BR) and DFTs of clinical application system.
- Troubleshoots billing issues to a point of adequate resolution or until the issues are at least identified as to cause and effect. Troubleshoots all issues related to the patient billing interface including coordination of late charges and establishing necessary accounts in the HIS.
- Assists with the performance of a variety of client services issues when delinquent billing data is received. Including but not limited to Admitting Discharging and Transferring (ADT) of patient data Insurance (Third party billing) UPIN EDI NPI SSN Diagnosis and Guarantor entry.
- Processes check and credit card payments using online system.
- Moves charges when necessary to assure accurate billing derived out of the LIS and HIS. Uses LIS and HIS auditing reports to verify the accuracy of patient and client billing.
- Analyzes processes and applies critical thinking skills to the LIS and HIS and EMR systems. Creates new client accounts.
- Communicates effectively with every department within ADx NJH Patient Financial Services (PFS) LIS HIS and other vendors used by ADx.
- Performs all other duties as assigned.
Other Duties
- None
Competencies
- Attention to Detail: Accomplishes tasks by considering all areas involved no matter how small; shows concern for all aspects of the job; accurately checks processes and tasks; being watchful over a period of time. Sets high standards of performance for self and others; assumes responsibility and accountability for successfully completing assignments or tasks; selfimposes standards of excellence rather than having standards imposed.
- Customer Focus: Ensuring that the customer perspective is a driving force behind business decisions and activities; crafting and implementing service practices that meet customers and own organizations needs.
- Decision Making: Identifies and understands issues problems and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or developing appropriate solutions; takes action that is consistent with available facts constraints and probable consequences.
- Drive for Results: Setting high goals for personal and group accomplishment; using measurement methods to monitor progress toward goals; tenaciously working to meet or exceed goals while deriving satisfaction from that achievement and continuous improvement.
- Informing and Communicating: Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.
- Initiative: Takes prompt action to accomplish objectives; takes action to achieve goals beyond what is required; being proactive.
Supervisory or Managerial Responsibility
None
Travel
None
Core Values
- Be available to work as scheduled and report to work on time.
- Be willing to accept supervision and work well with others.
- Be well groomed appropriately for your role and wear ID Badge visibly.
- Be in compliance with all departmental and institutional policies the Employee Handbook Code of Conduct and completes NetLearning by due date annually.
- Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the institution.
- Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures.
- Wears appropriate PPE as outlined by the infection control policies and procedures.
- Demonstrates compliance with all state federal and all other regulatory agency requirements.
Minimum Qualifications
- Education: High school diploma or GED required.
- Work Experience: A minimum of 4 years of recent and related hospital clerical and medical insurance experience within a healthcare environment required. Laboratory billing experience preferred.
- Special Training Certification or Licensure: None
Salary Range: $20.00 $25.00
Benefits
At National Jewish Health we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care our employees are our greatest asset. With that in mind we have designed a valuable comprehensive benefits package to meet the needs of our employees and their families.
- Comprehensive Medical Coverage:Multiple Cigna health plans for Colorado regional office and remote employees. Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) available to pair with some plans.
- Paid Time Off:Generous PTO accruals to use for vacation and sick days and six paid holidays all compliant with Colorado state sick leave regulations.
- Dental & Vision Plans:Coverage effective the first of the month after hire.
- Retirement Savings:403(b) plan with employer contributions after two years.
- Wellness Incentives:Earn up to $200 annually for preventive health activities.
- Tuition Reimbursement:Up to $5250 annually for fulltime and parttime employees.
- Child Care Assistance:Childcare Flex Spending Account (FSA) with annual employer contribution.
- Loan Forgiveness:Public Service Loan Forgiveness (PSLF) eligible employer.
- Disability & Life Insurance:Employerpaid plans and optional buyup choices.
- Voluntary Benefits:Full suite of coverage options such as Accident Hospital Indemnity and Legal Plan
- Exclusive Discounts:Savings on local services insurance and RTD bus passes.
Application Deadline:This position will be open for a minimum of three days and until a top applicant is identified.
Required Experience:
Senior IC
Employment Type
Full-Time
Key Skills
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