What are the responsibilities and job description for the Medical Biller - Charge Entry position at Brown Physicians, Inc.?
SUMMARY:
Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient account charge entry. These financial transactions are to ensure stability of the organization’s accounts receivable.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Applies the Brown Physicians Inc. values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Physicians Inc. mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance with the Brown Physicians Inc. Compliance Program and Code of Conduct.
Practices the Brown Physicians Inc. Customer Service Standards.
- Maintain current knowledge of federal and state regulations regarding medical billing practices.
- Act as a resource to practice management and providers.
- Maintain knowledge of all applications including eClinical Works, Epic, Microsoft Word, Excel and on-line payer verifications/claims status.
- Review encounter forms to ensure accurate diagnostic/treatment codes are entered into billing system.
- Ensure data entry of encounter forms occur with two (2) business days of receipt.
- Process all necessary adjustments or changes, as needed, to insurance information (including priority changes), demographic information.
- Maintain patient confidentiality.
- Demonstrate flexibility to perform duties wherever volume deems it necessary within the charge entry area.
BASIC KNOWLEDGE:
- A technical understanding of reimbursement policies and procedures of various third-party payor and medical assistance programs to ensure billing procedures are compliant.
- Interpersonal skills to exchange information with patients, internal and external clients.
- Understand the basic reporting and balancing of charge batches.
- Analytical ability to research and resolve billing problems and to prepare statistical reports depicting billing activity.
- Provide feedback to Brown Physicians Inc. practices surrounding error trends with demographics, eligibility, and etc.
EXPERIENCE:
- High school diploma, GED
- One-two years of progressively more responsible experience in processing and resolving Revenue Cycle.
WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:
Work is performed in a typical office setting requiring extended periods of sitting, standing and walking. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
INDEPENDENT ACTION:
Work is performed under general supervision, with some independent judgment exercised in determining priorities.
SUPERVISORY RESPONSIBILITY:
None.
Employees are required to be vaccinated against Covid as a condition of employment, subject to accommodation for medical exemptions.
We value a diverse, talented workplace and seek colleagues who strive to better understand systemic barriers as it affects patient care and our academic institutions. Brown Physicians, Inc. welcomes nominations and applications from all individuals with varied experiences, perspectives, abilities, identities, and backgrounds to enrich our clinical, research, training and service missions.
