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Billing Coordinator - PRN

Company: Frye Regional Medical Center
Location: Hickory
Posted on: January 15, 2022

Job Description:

Frye Regional Medical CenterPosition Summary:The Billing Coordinator-- -is the primary metrics manager and process improver across all practices and groups.-- -The Billing Coordinator will also work with practices, Providers, and Staff to enact changes, develop new processes, and coach/train individuals to adopt best practices.COMPANY DESCRIPTIONDuke LifePoint Healthcare is a joint venture of Duke University Health System, one of the country's leading academic health systems, and LifePoint Health, a leading healthcare company dedicated to Making Communities Healthier.-- -These two forces joined because of the shared interest in collaborating with hospitals, healthcare providers, and patients to bring high-quality, innovative healthcare services to communities.-- -Duke LifePoint combines Duke's unparalleled expertise in clinical excellence and quality care with LifePoint's extensive resources and knowledge and experience operating community hospitals and healthcare organizations.Responsibilities: Monitor volume and outflow in all claim worklists, following up with specific practices and individuals to understand the root cause of claim buildup Assist front office and coding staff with workflow questions related to their respective claim holds Take full ownership of the credentialing worklist and resolve holds by working directly with payers and contacting the HSC Enrollment Team as needed Contact the PMDS Team Lead to review holds that need to be reassigned to a different worklist Educate providers, front office staff, and coders on workflow corrections based on feedback from the PMDS Team Lead Missing Slips, Coding, and Charge Entry Monitor Missing Slips volume and follow up with providers who are not locking eCW encounters Ensure coders are dedicating allotted hours (see Staff Roles & Costs) to the Coding Worklist Ensure coders are manually entering out-of-office charges Credentialing and Enrollment Before go-live: Work with Amanda Peaslee to complete "Enrollment Tasks"-- - in Athena During go-live: Address outstanding pre-live tasks, and review the credentialing claim worklist to identify new tasks After go-live: Resolve claims from the credentialing claim worklist; submit PAD requests and complete credentialing tasks in Athena for new providers Review all un-postable records deemed market responsibility per the "Unpostable and Correspondence Responsibilities"-- - document Research payment and patient account errors preventing successful payment collection Resolve posting errors by updating account information, rerouting payments, and more Coordinate with individual clinics to ensure patient accounts are corrected as needed Remittance Dashboard Manage co-mingled remittance files and upload them to the appropriate EMR system Trace misrouted payments and coordinate with finance to allocate in appropriate bank account Provide missing remittance files and payment documentation to the Athena payment posting team (directly within the Remittance Dashboard) Correspondence Dashboard Review all correspondence records deemed market responsibility per the "Unpostable and Correspondence Responsibilities"-- - document Close records that do not require follow-up Contact payers and patients to resolve records that require additional information Reassign records to Athena, PMDS, or individual clinics if necessary Payment Collection Post legacy payments to eCW and Simplee following the Athena go-live Assist front office teams with payment processing issues, and with payment collection during the Athena transition Deposits Perform daily bank deposits for TOS and other cash received locally; or confirm that each clinic is depositing their own cash Coordinate with Finance to match deposit batches to bank activity each week via Financials> Reconcile Deposits to Bank Activity Confirm clinic cash drawers are balanced daily via Financials> TOS Money; follow up with individual clinics that are out-of-balance Refund Management Review refunds initiated by the PMDS team on a weekly basis; transmit refund requests to the finance or Parallon team Confirm that refund checks are successfully processed and mailed Complete any additional forms or process points outside of the LPNT/PMDS standardWhy join our team?Frye Regional Medical Center employs more than 1500 professional and clinical staff.-- -Our medical center is a 355-bed acute care facility that offers a broad array of inpatient and outpatient care.-- -Frye Regional Medical Center is dedicated to providing patients with a full range of services to meet the healthcare needs of our community.-- -We believe our employees are our most valuable assets in accomplishing this goal and we have made great strides to ensure employee satisfaction.-- -If you are passionate about changing lives, we are looking for you!Job Requirements:Minimum Requirements:High School Diploma or Equivalent RequiredExtensive background in billing, or related college coursework preferredLifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

Keywords: Frye Regional Medical Center, Hickory , Billing Coordinator - PRN, Accounting, Auditing , Hickory, North Carolina

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