Job Description:

Baptist Health Medical Group

Medical Billing Coordinator

OBGYN

Full Time/Monday-Friday

St. Matthews Area

Principal Duties and Responsibilities:

The following is a summary of the major job functions of the individual's job. He or she may perform other duties, both major and minor, which are not mentioned below, and specific functions may change from time to time.

• Supervise and ensure all charge sheets of patient who receive care are 100% accounted for the next morning.

• Coordinate with practice staff and providers to collect all billing data required and obtain any missing code or charges.

• Supervise and ensure that insurance data in billing system are correct. Contact BMA administration/Allscripts trainer to add non-existing provider or insurance. Work with practice admitting staff to ensure that updated labels, with correct encounter numbers are being placed on charge sheets.

• Review patient billing records and code charges according to all applicable guidelines.

• Input daily hospital charges from encounter forms into hospital billing system. Post Professional fees of hospital testing in Allscripts. (HOPD specific)

• Monitor and work error reports, audit logs to ensure charges are entered timely.

• Collaborate with Revenue Cycle and Compliance staff to ensure professional charges are received in a timely manner.

• Work daily audit reports:

  • ARR0510B - charges posted to accts (svc type CKY) in error. (Discontinues when Allscripts is implemented.)

  • ARR9030B - "B" status accounts with no charges.

  • RCR0030L - Daily charge report to audit previous day's charges by patient.

• Assist in identification of efficiency and revenue cycle enhancement opportunities by communicating compliance requirements to providers.

• Assist with request for audits from payer/insurance or corporate compliance.

• Research, identify, and notify Reimbursement and BMA when any new procedures/tests arise so that new charges (SIMs) can be added to the charge sheets. Update charge sheets in a timely fashion.

• Act as contact person at Kentucky Heart Specialists for Hospital Medicare APC edits distributed by the Reimbursement Department for the resolution of NCCI/OCE Edits on Medicare and Medicare Replacement outpatient accounts (HOPD Specific)

• Act as liaison between Kentucky Heart Specialists and the following: BMA, Hospital Reimbursement and Admitting staff, Patient Financial Services billers.

• Patient interaction regarding payments, charges and billing.

• Enter or update demographic information for hospital diagnostics (Ekg, Echo and Stress Tests) (HOPD Specific)

• Balancing daily and printing the close of the day report.

Minimum Education, Training and Experience Required:

• Associate or bachelor's degree in business or healthcare related field preferred; Equivalent experience may be substituted.

• Working knowledge of computers with a proficient understanding of multiple business and revenue cycle applications (word processing, spreadsheet, billing, reporting, and presentation).

• Demonstrated ability and experience to interact with all levels of a physician practice and network to include clerical, professional, management, and medical staff.