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Medical Abstractionist-Division of Plastic Surgery-CSA

Job Summary

The Billing Coordinator II is responsible for preparing and entering surgical and in-patient billing for the Division, ensuring the accuracy of outpatient billing and assisting with account reviews/account receivable / appeals follow up. 

Job responsibilities include but are not limited to:

  • Inpatient encounters and enters into billing system.
  • Ensures pre-certifications/authorizations are valid for the procedure performed.
  • Performs daily maintenance on divisional billing work-queues.
  • Assists in finding resolutions to billing issues – rejections, non-paid accounts, etc.
  • Communicates with families, assisting with billing/insurance questions and collecting surgical prepayments

Job Responsibilities

  • Ensures timely and accurate release of all outpatient charges.
  • Reviews Op Notes, inpatient consult notes, and abstracts/confirms Diagnosis and CPT Procedure codes for all surgeries and inpatient encounters and enters into billing system.
  • Ensures pre-certifications/authorizations are valid for the procedure performed.
  • Performs daily maintenance on divisional billing work-queues.
  • Assists in finding resolutions to billing issues – rejections, non-paid accounts, etc.
  • Communicates with families, assisting with billing/insurance questions and collecting surgical prepayments.
  • Supports special projects assigned by Manager

Required Education and Experience

Required Education: High School/GED

Required Experience: Three to five years of experience in health in health insurance reimbursement. 

CPC Certification required.  Candidates without certification will be considered, however, certification must be obtained within 6 months of hire date to remain in the position.
 

Required Licenses, Certifications, Registrations

CPC - Certified Professional Coder

Additional Technical Requirements

  • Strong knowledge of specialty coding preferred.
  • Knowledge of ICD10, third party procedures, and requirements regarding benefit structures, insurance verification, referrals and authorizations.
  • Knowledge of general financial counseling required as well as understanding the revenue cycle.
  • Excellent communication and interpersonal skills.
  • Accuracy in data collection and data entry.
  • Familiarity with Electronic Health Record.
  • Basic application of computers and Microsoft Applications (i.e. Word and Excel). 
  • Ability to think critically, analyze data and identify trends.
     

Company
Childrens Hospital of Philadelphia
Posted
03/26/2018
Type
Full time
Location
Philadelphia, Pennsylvania 19104, US