Billing Coordinator - Delaney OBGYN
Company: Women's Care
Location: Deltona
Posted on: June 24, 2022
|
|
Job Description:
Are you looking for not only a Job but a career? Are you over
worked? Are you tired of working weekends missing out on family
time, activities or just peace and quiet on Sunday? At Women's Care
our employees only work Monday through Friday no WEEKENDS Women's
Care offers that and so much more. We offer great competitive pay
and the availability to grow within our organization. We believe in
team work and loving what we do every day. Women's Care was founded
in 1998 by a small group of obstetrics and gynecology physicians in
Tampa. Our organization has grown tremendously through the years by
remaining true to its mission of improving the health of our
patients every day. We are looking for individuals to come join and
grow within our team and continue to make a difference in Women's
Care. Please consider us as your future home. The overall
operational responsibility for the billing and coding functions
through billing and clerical staff including front desk,
authorization/verification, and charge entry to ensure billing and
coding compliance while continuously improving accounts receivable
for the Unit. How you'll contribute Staff and provider resources
--- always appropriate in terms of performance, ability, attitude
and capacity. Counsels, disciplines and/or recommends termination
of employees as required Training and development --- meets the
coding/billing needs and objectives of the Unit through ongoing
training and development of staff and providers Customer Service
--- Maximizes patient experience by assisting the patient with
understanding their financial obligations. Reviews and handles
patient billing complaints Reviews, coordinate and implements claim
reimbursement methodologies to ensure accurate and timely
collection of revenue Continuously monitors and reviews Unit
specific benchmarking reports and provides recommendations for
improvement Constantly review payer denial trends. Performs various
collection actions including contacting patients by phone,
correcting and resubmitting claims to third party payers when
necessary Ensure constant use of managed care tools and references
Systems and processes are documented, adhered to and continuously
improved. Includes: Ensures timely and accurate entry of charges,
visit encounters and receipts into the eCW system Charges are
reviewed to detect for variations and patterns in order to prevent
lost revenue this includes daily balancing all payment and charges
Reviews lab and ultrasound service utilization, physician charges
and coding accuracy, and capture of charges Problem solving ---
Provides feedback and input to assist in resolving any
billing/coding problems. Contributes to putting plans in place to
avoid recurrence and ensure improvements where necessary. Develops
and maintains effective communications between all levels of
personnel. Oversees and ensures compliance with all WCF
billing/collections policy and procedures Decreases days in A/R by
ensuring all office charges are entered within 1 day from date of
service and hospital charges are entered within 5 days from date of
service. Generate practice activity report for service date and
sort on entry date to determine lag days between date of service
and date charge was entered in eCW Randomly select encounter and
compare to documentation Consistently use Encoder Pro and other
coding resources ie. payer reimbursement guide and insurance web
portals to ensure coding accuracy Generate SPLIT bill report
monthly to ensure charge capture of antepartum Generate insurance
aging report to review details of unpaid claims Monitor cord blood
log and track payments monthly Continuously monitor utilization of
payer and system resources to ensure accuracy of insurance
verification process Review and process all claims on the "on
hold--- in the Insurance Follow-up module weekly Review Insurance
follow-up module office responsible worklist to determine coding
errors and manage denials Oversee time of service collections
process in accordance with WCF financial policies Use insurance web
portals and patient responsible estimators to determine patient
financial responsibility Review OB Budget agreements and ensure
collection of monthly budget installments eCW pre check to
determine in house collection balance, collection agency, credit
balances Monitor and review patient responsible collection module
and collection processes monthly Review financial analysis report
of all patient responsible debt sorted by statement code Review the
C5 worklist in the patient collection module and report status of
delinquent accounts. Reviews accounts and determine if account
should be placed with an outside collection agency Review patient
credit balances and approve refunds bi monthly Constantly monitor
credit balance worklist in patient collection module Review EOBs
and financial history to determine accuracy of credit balance
Approve refund check to be issued to patients Generate daily recap
to determine total refunds issued given a specific period
Continuously increases utilization of managed care tools and
improves eligibility and benefit Accuracy measured by number of
monthly electronic transactions for the Units (includes,
eligibility & benefits and claim status) Review monthly benchmark
data distributed by CBO Who you are High school diploma or
equivalent. CPC required Minimum three years medical coding and
medical billing experience in medical office environment. Ability
to interpret financial statements. Working knowledge of electronic
claims submission and remittance procedures Ability to multi-task
in a stressful, deadline-oriented environment. Ability to
communicate with coworkers, providers and patients in an effective
manner. Ability to use a computer and enter data in electronic
medical record system. Knowledge of governmental regulations and
compliance requirements. 3 years billing experience in medical
office environment is preferred 2 years of billing supervisory
experience is preferred. OB/GYN experience a plus. eCW electronic
medical record experience a plus Women---s Care, founded in 1998,
is a leading women---s healthcare group in the United States,
dedicated to providing the highest quality of care for women
through their reproductive years and beyond. With 110 locations and
over 400 OB/GYNs and specialists across the country, Women---s Care
provides comprehensive patient care in obstetrics, gynecology,
gynecologic oncology, urogynecology, gynecologic pathology, breast
surgery, genetic counseling, maternal fetal medicine, laboratory
services, and fertility. Women---s Care has grown tremendously
through the years and expects to accelerate its growth with plans
to expand rapidly into new markets across the U.S. With the
commitment of our employees, we remain true to our mission of
---Improving the Health of Women Every Day.--- At Women---s Care,
we CARE about our patients, and we stand by our values. C ompassion
& Empathy: Treating patients like valued friends and family A
ccountability: Taking responsibility for our actions and behaviors
R espect: Acting respectfully in every interaction E xcellence &
Quality: Providing the safest, highest quality of care We are
looking to grow our team with equally value-driven professionals
who are passionate about using their skills to further our mission.
We value our employees just as we value our patients, and we
prioritize advantages like work-life balance, employee engagement,
and other incentives to help you be your best. Now is a great time
to join our team
Keywords: Women's Care, Deltona , Billing Coordinator - Delaney OBGYN, Healthcare , Deltona, Florida
Click
here to apply!
|