Banner Health Billing Order Entry Spec in Tempe, Arizona

Billing Order Entry Spec

Job ID: 6466

Address:

City: AZ-Tempe

Shift: Days

Start Time: 8:00 am

End Time: 5:30 pm

FTE Status: (FA) 1.0 - 40 Hours

Description

POSITION SUMMARY

This position’s primary responsibility is completing daily Medicare reports; entering and verifying all accurate billing information needed to collect revenue for testing including insurance updates, reviewing various websites, patient demographic changes, and diagnosis updates including translating narratives to ICD10 codes. Additional responsibilities include coordinating with management to resolve any outstanding payer codes or billing problems.

ESSENTIAL FUNCTIONS

  1. Generates Medicare auto billed accessions report that contains LCNOABN errors. Reviews, corrects and validates Advance Beneficiary Agreement (ABN) and properly line links to ensure accurate Medicare Billing and that all policies and procedures are being followed.

  2. Effectively researches missing insurance information using various websites (AHCCCS, Dorado, Noridian, Emdeon etc.) for proper billing and assists in translating narratives to ICD 10 codes in accordance with departmental policies, procedures and all applicable laws and regulations.

  3. Keeps current with all updated Medicare Limited Coverage Policies, medical necessity and guidelines required for proper billing and audit purposes.

  4. Oversees ongoing process to increase employee’s knowledge of all Internal (Department) memos, Standard Operating Procedures. These procedures will assist in dictating accurate billing entry.

  5. Tracks and monitors individual employee productivity based on departmental goals. The accuracy is monitored by daily review of accessions and not more than the established error rate.

  6. Notifies billing management of any billing issues or trends, helps research, resolves issues and provides input on areas of opportunity for improvement.

KNOWLEDGE, SKILLS AND ABILITIES

  • Ability to work independently and accurately with high volumes and under minimal supervision.

  • Excellent organizational skills.

  • Ability to prioritize and complete multiple tasks simultaneously.

MINIMUM QUALIFICATIONS

  • High School diploma.

  • Two years of experience in billing or health care.

  • Ability to focus on high level complex issues.

  • Must demonstrate behaviors consistent with the values of LSA/SQL.

PREFERRED QUALIFICATIONS

  • Two or more years’ related billing experience and/or lab experience.

  • Type a minimum of 60 words per minute and a minimum of 13,000 keystrokes per hour.

  • Quest certified ICD 10 translator.

  • Beginner level experience with Microsoft Excel.