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Job Description
Department:
70158
Atrium Health Surgery Center:
Huntersville•
Ambulatory Surgery Center Status:
Part time
Benefits Eligible:
Yes Hou rs
Per Week:
25
Schedule Details/Additional Information:
Part Time•Monday through Friday, variable day time hours. Remote Charlotte area.
Pay Range:
$21.85•$32.80 Essential Functions Review medical records for documentation accuracy and assign the correct CPT and ICD-10 codes to the claim. May conduct or assign audit reviews of coding and procedures specification. Performs and oversees all billing processes, including primary/secondary and rebilling, including necessary claim edits on both internal and external software systems. Remains knowledgeable and current on rules and regulations related to all government payers: Medicare, Medicaid, VA, etc. Checks clearinghouse transmission daily to ensure files are successfully transmitted to the intermediary. Works closely with vendors when problems or trends arise that impede work flow. Handles follow up on billed patient accounts to successfully collect owed balances. Posts payments as required via cash, credit cards, EFT and third-party vendors, etc. Reviews and adjudicates EOBs/RAs to determine if the Surgery Center was paid correctly by the payer. Deals with denials in an efficient and effective manner, handling appeals as needed to get claims paid. Remains actively involved in KPIs associated with the financial performance of the Surgery Center. Physical Requirements The ability to lift, carry or push/pull up to 20 pounds and, occasionally, lift carry, push/pull over 20 pounds. Standing, walking 30% of the time, and sitting 70% of the time. Eye/hand coordination, finger dexterity, color perception, functional visual ability and depth perception, functional sound perception and discrimination, functional verbal speech ability. Occasional bending, kneeling, climbing, twisting, reach at/or above and below shoulder level. Routine balancing as it pertains to normal office environment duties. Education, Experience and Certifications High school diploma required. An Associate degree, suitable Trade School or Coding Certification preferred. 2-5 years' experience in a medical environment required, with strong medical terminology knowledge, preferably in the surgical realm. Thorough working knowledge of CPT and ICD-10 codes and can process outgoing claims, write billing edits, transmit transaction files and process payments. Strong typing skills, significant computer experience, email, copier and Microsoft office experience required. EMR experience required. EMR experience can be from a physician practice but should include both clerical and clinical functions. Knowledge of ASC billing preferred. Knowledge of billing rules and regulations through various governmental programs is required, as well as pertinent knowledge related to commercial claim submission and a firm grasp of all HIPAA guidelines. Our Commitment to
You:
Advocate Health offers a comprehensive suite of
Total Rewards:
benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more•so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short•and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program Note:
Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. Utilizes management reports, work queues, spreadsheets, payer remits, denials information to improve the claims submittal processes within the Surgery Center and reduce financial losses to the organization. Determine best case claim outcomes and can transmit issues upstream to Administration as needed to prevent recurrence of problems throughout the Surgery Center. Responsible for the daily billing, follow up and collection resolution of hospital and professional claims filed to various payors.
