PSC III, Billing Specialist - 20hr/wk at Massachusetts General Hospital(MGH) in Boston, Massachusetts

Posted in Other 17 days ago.





Job Description:

GENERAL SUMMARY/OVERVIEW STATEMENT:



Under the general direction of the Practice Manager the Sr. Billing Specialist is responsible for ensuring the accuracy of all billing documents so that accounts are properly processed.



PRINCIPAL DUTIES AND RESPONSIBILITIES:



Reviews charges in the work queue and submits billable visits in conjunction with the Billing Administrative Coordinator. Manages the Referral Work queue and outside referrals that come into the Practice.


Responsible for billing all deliveries for the entire Obstetrics Division which includes emailing providers for missing admissions and other charges.


Responsible for billing consults for lactation services


Responsible for billing all IUD insertions for the main campus and MGH Danvers


Responsible for billing all office and L&D non-stress testing


Responsible for billing all end of care visits


Responsible for submitting Prior Authorizations as needed


PSC III/Billing Coordinator will provide back up for the Billing Administrative Coordinator when necessary


Functions as the pod/unit resource for referral and insurance issues. Remains current on the changing


Possesses a thorough knowledge of all HMO, managed care, other third-party insurers, and available patient financial services/resources.


Ensure HIPAA Confidentiality and Privacy Policies are followed


Assists with special projects as required. Projects may include such topics as obligations to insurers, hospital issues of compliance and/or Operations Improvement Initiatives


Other duties as assigned



SKILLS/ABILITIES/COMPETENCIES:



Attention to detail


Proficient in Microsoft Word and Excel


Adequate computer, telephone, and typing skills


Ability to problem solve and work under pressure


Strong Communication and interpersonal team skills


Ability to manage time without direct supervision


Flexibility


Willingness to learn and grow


Knowledge of medical terminology


Knowledge of CPT and diagnosis codes, payment denial and claims support



WORKING CONDITIONS:



Office setting.



SUPERVISORY RESPONSIBILITIES:



N/A



FISCAL RESPONSIBILITY:



N/A



Qualifications

QUALIFICATIONS:



Bachelor's degree preferred or 3-5 years relevant experience


Certificate for medical billing and coding preferred


Bilingual preferred



EEO Statement

Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.