UNIV-Accountant/Fiscal Analyst II - College of Dental Medicine

Job Description Summary

The Billing Specialist will primarily focus on payor reimbursement Accounts Receivable denial management recognize potential highrisk accounts and develop techniques to improve collections and streamline processes. Will pursue resolution for all patient issues regarding patient accounts. Review/analyze patient accounts and take the necessary steps to resolve patient/guarantor issues. Assist with escalated/high priority account issues. Provide customer service as needed. The College of Dental Medicine (CDM) MUSC billing team member will manage collection issues with CDM Leadership resolve issues apply new information to future collection issues and make suggestions to enhance our efficiency and effectiveness through process improvement. Act as a point of contact and resource for CDM Faculty Residents and Staff for coding and accounting questions assistance with accounts and policy questions. Provide teaching and guidance for CDM students regarding patient coding patient estimate and account management and financial treatment plans. Establish and maintain positive working relationships with patients payers team members and clients. Maintain confidentiality of patient information organization data and information always in compliance with HIPAA regulations.

Entity

Medical University of South Carolina (MUSC Univ)

Worker Type

Employee

Worker SubType

Classified

Cost Center

CC000058 CDM Dean Finance & Administration

Pay Rate Type

Hourly

Pay Grade

University05

Pay Range

38985...000

Scheduled Weekly Hours

40

Work Shift

Job Description

Accountant/Fiscal Analyst II

Job Summary:

The Billing Specialist will primarily focus on payor reimbursement Accounts Receivable denial management recognize potential highrisk accounts and develop techniques to improve collections and streamline processes. Will pursue resolution for all patient issues regarding patient accounts. Review/analyze patient accounts and take the necessary steps to resolve patient/guarantor issues. Assist with escalated/high priority account issues. Provide customer service as needed. The College of Dental Medicine (CDM) MUSC billing team member will manage collection issues with CDM Leadership resolve issues apply new information to future collection issues and make suggestions to enhance our efficiency and effectiveness through process improvement. Act as a point of contact and resource for CDM Faculty Residents and Staff for coding and accounting questions assistance with accounts and policy questions. Provide teaching and guidance for CDM students regarding patient coding patient estimate and account management and financial treatment plans. Establish and maintain positive working relationships with patients payers team members and clients. Maintain confidentiality of patient information organization data and information always in compliance with HIPAA regulations.

Job Duties:

30% Billing/Coding:

Accurately bill BCBS of SC Medicaid selfpay/uninsured accepted federal grant programs and commercial dental insurance processing claims in accordance with payer requirements and organization policy

Regularly audit claims and EHR documentation for accuracy and Federal State and facility policy compliance

Aid member clients filing claims for nonaccepted plans in compliance with CDM MUSC policies.

Post and allocate payments electronic remits and paper explanation of benefits (EOBs).

Submit pretreatment estimates according to CDM MUSC policy and upon member client request Provide treatment plan and estimated cost review upon request

Process fee adjustment request according to CDM MUSC policies

Escalate requests that do not meet policy adherence to Clinical Affairs for determination

Correct claim and charge errors; audit for verification which includes but is not limited to audit of coding payments and EHR to identify and rectify any missing or incorrect charges.

Correct transaction entry errors within HER (Essential)

30% Accounts Receivables:

Provide Efficient and effective account receivable services on behalf of our member clients to maximize reimbursement and support CDM revenue cycle performance

Assist with the collections of receivables for guarantor and any thirdparty payers by monitoring accounts receivables checking claim status and resubmitting claims of overdue accounts filing corrected claims or appeals and alerting supervisor of seriously overdue accounts and trends.

Identify and address significantly overdue accounts according to state and facility policies

Issue correspondence related to balances including patient account statements

Thoroughly research and resolve credit balances.

Process refunds according to CDM MUSC and SC State policies

Prepare and drop Billing Office deposit

Perform deposit reconciliation for all of CDM MUSC deposits according to separation of duties.

Answer phone calls from patient and responsible parties regarding account balances and/or other account related matters.

Maintain complete and accurate billing and accounts receivable records

In office consultations for providers and patients (Essential)

30% Account Maintenance:

Perform registration updates in EHR and address Insurance entry and updates accordingly

Provide realtime insurance verification for all CDM clinics utilizing personal planner and associated web portal access

Timely and accurate communication with CDM Faculty Residents Staff and Students in accordance with department processes

Provide regular and Ad Hoc reporting to CDM Leadership for missing charges and unapproved charges / documentation; weekly monthly & yearly. Audit when needed to identify trends.

Identify issues make updates to Insurance background maintenance within EHR and assist with additional background maintenance tasks as assigned.

Assists supervisor and administration with escalated patient account issues; works quickly accurately and professionally to resolve high priority patient accounts (Essential)

10% Additional Responsibilities:

Act as a point of contact and resource for CDM Faculty Staff and Students for coding and accounting questions assistance with accounts and policy questions.

Special projects as needed

Other duties as assigned (Essential)

Preferred Experience & Additional Skills:
A high school diploma and three years professional experience in a related area such as accounting auditing finance or commercial lending. A bachelors degree with multiple accounting courses may be substituted for two years of the required work experience.

Physical Requirements:
Ability to perform job functions in an upright position. (Frequent)

Ability to perform job functions in a seated position. (Frequent)

Ability to perform job functions while walking/mobile. (Frequent)

Ability to work indoors. (Continuous)

Ability to work in confined/cramped spaces. (Infrequent)

Ability to bend at the waist. (Infrequent)

Ability to squat and perform job functions. (Infrequent)

Ability to fully use both hands/arms. (Continuous)

Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent)

Ability to reach in all directions. (Frequent)

Possess good finger dexterity. (Continuous)

Ability to maintain tactile sensory functions. (Continuous)

Ability to lift and carry up to 15 lbs. unassisted. (Infrequent)

Ability to lift objects up to 15 lbs. from floor level to height of 36 inches unassisted. (Infrequent)

Ability to lower objects up to 15 lbs. from height of 36 inches to floor level unassisted. (Infrequent)

Ability to push/pull objects up to 15 lbs. unassisted. (Infrequent)

Ability to maintain 20/40 vision corrected. (Continuous)

Ability to see and recognize objects close at hand. (Continuous)

Ability to see and recognize objects at a distance. (Continuous)

Ability to match or discriminate between colors. (Continuous)

Ability to determine distance/relationship between objects depth perception. (Continuous)

Good peripheral vision capabilities. (Continuous)

Ability to hear and/or understand conversations. (Continuous)

Ability to perform gross motor functions with frequent fine motor movements. (Continuous)

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race color religion or belief age sex national origin gender identity sexual orientation disability protected veteran status family or parental status or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications merit and business need.

Additional Job Description

Minimum Requirements: A high school diploma and three years professional experience in a related area such as accounting auditing finance or commercial lending. A bachelors degree with multiple accounting courses may be substituted for two years of the required work experience. Physical Requirements: (Note: The following descriptions are applicable to this section: Continuous 68 hours per shift; Frequent 26 hours per shift; Infrequent 02 hours per shift) Ability to perform job functions in an upright position. (Frequent) Ability to perform job functions in a seated position. (Frequent) Ability to perform job functions while walking/mobile. (Frequent) Ability to work indoors. (Continuous) Ability to work in confined/cramped spaces. (Infrequent) Ability to bend at the waist. (Infrequent) Ability to squat and perform job functions. (Infrequent) Ability to fully use both hands/arms. (Continuous) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to maintain tactile sensory functions. (Continuous) Ability to lift and carry up to 15 lbs. unassisted. (Infrequent) Ability to lift objects up to 15 lbs. from floor level to height of 36 inches unassisted. (Infrequent) Ability to lower objects up to 15 lbs. from height of 36 inches to floor level unassisted. (Infrequent) Ability to push/pull objects up to 15 lbs. unassisted. (Infrequent) Ability to maintain 20/40 vision corrected. (Continuous) Ability to see and recognize objects close at hand. (Continuous) Ability to see and recognize objects at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to hear and/or understand conversations. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Additional New Requirements: Computer literacy.

If you like working with energetic enthusiastic individuals you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race color religion or belief age sex national origin gender identity sexual orientation disability protected veteran status family or parental status or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications merit and business need.

Medical University of South Carolina participates in the federal EVerify program to confirm the identity and employment authorization of all newly hired employees. For further information about the EVerify program please click here: Experience:

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