SUMMARY DESCRIPTION

The Medical Billing Specialist (PART-TIME) is responsible for entering surgery charges after review of the operative report.  The medical billing specialist may also be assigned other work in the dept as needed. 

RESPONSIBILITIES

• Reviews op reports to verify the codes that were authorized were documented.
• Applies appropriate coding methodology to prevent a bundling denial, which includes using modifiers as needed.
• If changes are found in the op report or on the change report from the surgery center, it is necessary to work with the surgery scheduler to have the pre-authorization requirements of the new codes verified/updated.
• Works the missing ticket report for all scheduled surgeries.
• May be asked to post remits, credit balance report as needed. 
• If a discrepancy is found while reviewing the op report, it may be necessary to query the physician to clarify the procedure performed via text, email, or EMR message.
• Weekly email is completed to the physicians, including the ASC president and the Director of Revenue Cycle Management to inquire about incomplete or missing op reports.
• Works all visit category 4 accounts on the AR within one week of assignment
• All other duties as assigned.

QUALIFICATIONS

• A high school diploma;
• Certified Professional Coder, it is necessary to maintain CEU’s.
• Experience in a medical office setting, preferably at least 2 years, and preferably with billing functions;
• Excellent communication and customer service skills;
• Basic knowledge of keyboard and accurate data entry skills;
• Technical skills sufficient to be able to run reports and interpret data;
• A team player who can facilitate people working together in a collegial and efficient manner;
• Ability to communicate clearly in person and/or on the phone and establish/maintain cooperative relationships with patients, physicians and staff;
• Ability to organize and prioritize tasks effectively; 
• Ability to read, understand, and follow oral and written instructions.

ENVIRONMENTAL/WORKING CONDITIONS

• Medical office setting.
• Well-lit and well-ventilated adequate space.
• Some exposure to communicable diseases and other conditions common to a clinical environment.

PHYSICAL/MENTAL DEMANDS

• Requires sitting for extensive periods. 
• Must be able to view a computer screen for an extended period.
• Light lifting required up to 15 lbs.
• Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier, and such other equipment, as necessary.