OBGYN Billing Analyst
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Job Location:
Philadelphia, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
17 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Details
OBGYN Billing AnalystJob Description
Provides professional and technical billing support to the Department OBGYN. Analyzes all aspects of the Physician/Technical billings to ensure compliance and reimbursement maximization. Responsibilities include coding encounters for diagnosis and CPT codes and ensuring that they are properly entered into the system. Ensure that billing is obtained and charges entered for all providers in each practice site. Reviews physician and hospital billing practices against documentation in the medical record to ensure compliance with all federal state and third-party billing requirements rules and regulations.
Essential Functions
- Interacts with co-workers visitors and other staff consistent with the values of Jefferson.
- Review diagnosis codes and CPT procedure codes being used. Assures Physician has used appropriate codes for all outpatient and inpatient encounters.
- Provide financial counseling to patients; answer inquiries concerning patient bills;
- Maintain quality assurance so that all charges are accounted for and entered into the billing system by using daily provider schedules. Develops system for tracking inpatient charges.
- Keep abreast of changes in 3rd party physician reimbursement regulations; develop and implement new billing procedures as needed.
- Manages the hospital denial reports; research denials; corresponds with appropriate individuals within AEHN or with 3rd parties to rectify. Compose and direct use of appeal letters to specific insurance carriers.
- Maintains and reports month-end accruals and IDX monthly revenue reports.
- Review/input of patient demographic and insurance information to ensure charges are generated as appropriate.
Competencies (Knowledge Skills and Abilities Required):
IDX experience preferred
Cerner
RCX Rules
Minimum Education and Experience Requirements:
Education:
High School Diploma (or equivalency)
Associates Degree preferred
AND
Experience:
2 years of experience in billing coding revenue cycle required
Work Shift
Workday Day (United States of America)Worker Sub Type
RegularEmployee Entity
Albert Einstein Medical CenterPrimary Location Address
5501 Old York Road Philadelphia Pennsylvania United States of AmericaNationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.
For more benefits information please click here
Required Experience:
IC
Key Skills
- LTC Pharmacy
- Accounts Receivable
- Medical Coding
- Accounting
- 10 Key Calculator
- Detailing
- Medical Billing
- Microsoft Excel
- CPT Coding
- Epic
- Medicare
- Contracts
About Company
At Thomas Jefferson University in Philadelphia, PA, we are helping you to redefine what’s possible with innovative and tailored education opportunities.
