Job Description

**Employment Type:** Full time **Shift:** Day Shift **Description:** Entry of bill only invoices for Spine and Orthopedics into Peoplesoft. Valuation and reconciliation of of surgery charges in Cerner that drive revenue. Entry of Anesthesia facility charges along with Revenue Audits. **I Accountability Objectives:** Records charges for all Perioperative hospital services including Surgry, Endoscopy and Anesthesia. Audits, collates, summarize and submits documents/charting to the Anesthesia professional billing service. Responsible for audit, verification and entry of billing of supply charges and implants for perioperative services generating balance sheets and invoices. Reviews account adjustments for accuracy and procedural integrity. Performs revenue reconciliation on a daily basis and provides monthly internal audit reports to Finance. Addtional entry of all key data elements recorded from procedure for reporting purposes. **II Position Qualifications:** **Minimum Education, Licensure / Certification and Experience Required.** **A. Education** **-** Two years college course work in a medically related discipline or equivalent work experience in order to gain knowledge of medical terminology, anatomy/physiology, familiar with medications, abbreviations, chemical symbols, charge for procedures. **B. Licensure / Certification** Not Applicable **C Special Skill / Aptitudes** + Excellent customer service orientation skills necessary in order to deal effectively with various levels of hospital personnel, outside customers and vendors. Ability to recognize and prioritize people in stressful situations. + Working knowledge of medical terminology and ability to spell medical terms correctly. Able to type 30 corrected words/minute. + Work requires the ability to balance accounts and knowledge of claims processing, payments, and adjustments. + Work volume is high, and involves math and analytical skills to reconcile accounts and resolve issues with contractual payments, discounts and outstanding balances. + Excellent keyboarding and computer skills with proficiency in Microsoft Office Suite and Mainframe entry. Ability to interpret data and extract reports using various software programs. + Ability to operate general office equipment (ie: fax, calculator, copy machine). + Excellent customer service orientation skills necessary in order to deal effectively with various levels of hospital personnel, outside customers and community groups. **II Position Qualifications:** **Minimum Education, Licensure / Certification and Experience Required.** **D. Experience** + Three to five years of patient accounting or managed care experience. Perioperative operations preferred. + Minimum 6 months perioperative billing preferred. + Previous experience posting cash and adjustments in health care setting preferred. **III Duties / Responsibilities:** Ensures all transactions are consistent with federal, state and hospital requirements. Reviews account adjustments for accuracy and procedural integrity. Reports any identified trends or problem areas to supervisor. Generates daily and monthly audit reports to reconcile revenue issues. Measures and monitors various aspects of revenue cycle processing and documents. Analyzes and reports trends to ensure appropriate payments are received. Provides input for performance improvement indicators selected. Performs quality review and documents findings as requested. Provides data, reports and documentation relative to managed care issues, adjustments, and credit balances. Measures and monitors various aspects of revenue cycle processing and documents findings for review. Enters, verifies and audits patient charges and post-operative data in a timely and accurate manner. Verifies with Patient Accounting and Third-Party vendors that patient charges have been successfully transmitted and processed. Collaborates to ensure that supply and charge information on departmental records are correct. Communicates needs to Business Manager as needed. Maintains current knowledge of all organizational compliance policies and procedures and performs duties accordingly. Maintains confidentiality of all patient, department, hospital and other information. Secures documents and other information to ensure confidentiality. Works closely with System Specialist and Surgery Revenue Lead and Finance to reconcile all revenue issues within the Surgery System. + Demonstrates and actively promotes an understanding and commitment to the mission of St. Joseph Mercy Oakland through performing behaviors consistent with the Trinity Health Values. + Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Organizational Integrity Program, including the Standards of Conduct, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behaviors. + Supports and conducts one's self in a manner consistent with customer service expectations. + In accordance with unit or departmental practice, determines that appropriate charges have been entered for the correct patient, encounter, date/time of service, with any required modifiers. Make corrections as needed per charge capture policy/practice. + In accordance with unit or departmental practice, actively participates in on-going education and communication regarding revenue management. + In accordance with unit or departmental practice, assists with tracking and monitoring of equipment assigned to the unit. Requests services for maintaining equipment as needed. + In accordance with unit or departmental practice, proficient with the electronic health records for documentation, assessment, and care management, performing these activities concurrently with provision of care throughout the shift. **IV Dept/Unit Specific:** Not Applicable **V Working Conditions:** - Normal office environment. **Our Commitment** Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran

Job Tags

Full time, Work experience placement, Work at office, Local area, Shift work, Day shift,

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