What are the responsibilities and job description for the Level 2 Billing Specialist position at Dallas CSO - Hospital (01072)?
Overview
Reporting to the Billing Supervisor, Level 2 Billers are responsible for the daily entry of charges for their assigned surgical centers. This will include but is not limited to the following: assign modifiers, diagnosis codes, and revenue codes according to reimbursement guidelines resulting in claim reimbursement.
Role and Responsibilities
- Act as a resource for all critical aspects of the CBO which includes liaising between departments as well as assisting Level 1 Billers.
- Execute the recurring billing workflow and generate and transmit to designated electronic claims clearinghouse daily.
- Work DNFB, Hold Timeline Report and Late charges for assigned facilities.
- Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.
- Edit Failures, Coding Updates, answer facility emails as well as CSO departmental emails, and billing as needed.
- Ensure timely follow-up and resolution of internal and external inquiries of billing issues (i.e., operative notes, invoices, or implant pricing, etc.)
- Reconcile revenue and billing during the month end close process.
- Maintain current knowledge of health care billing laws, rules, and regulations and developments.
- Help with reports/special projects as needed and other duties as assigned in accordance with priority.
Required Skills:
Qualifications and Education Requirements
- One year’s previous experience or some hospital clerical experience or medical terminology preferred.
- Must demonstrate a positive demeanor, good verbal, and written communication skills, and be professional in both appearance and approach.
- Must be able to handle potentially stressful situations and multi-task and handle competing priorities while meeting or exceeding deadlines.
- Knowledge or experience working with a variety of health care insurance payers preferred.
- Any of the following: Cerner, nThrive, Advantx, Waystar, Meditech, and/or EffecientC experience preferred.
- Must have Intermediate computer proficiency in Microsoft Office including Excel and Outlook.
- High school graduate or equivalent.
