GENERAL SUMMARY: The Billing Coordinator is responsible for all aspects of accounts receivable management including billing, credit & collections, customer service functions for all Cardiology locations. Provides operations, budgetary and personnel support. Facilitate maximum reimbursement through utilization and knowledge of appropriate ICD10 and CPT 4 documentation and tasking efforts. Plans, implements, and coordinates the medical group Cardiology service line activities related to rev cycle management (including registration, billing, third claim reconciliation and AR management for professional & ancillary services performed and billed by physicians employed by Adventhealth Cardiology. Oversees the practice management system, any outsourced billing services.
Address: 3000 Medical Park Drive Ste. 170, Tampa FL, 33613
Shift: Full Time Days
Schedule: Monday-Friday; 8:30pm-5pm
PRINCIPAL DUTIES AND JOB RESPONSIBILITIES: All essential functions must be performed. Reasonable accommodations may be made to enable individuals with qualified disabilities to perform the essential functions.
Responsible for all charge entry is completed and reconciled monthly for each provider, including ancillary charges.
Maintains knowledge of payer billing requirements (coding and rules) and applies them to ensure AHMG receives appropriate and timely reimbursement.
Follows industry standards and practices related to billing and accounts receivable management and implements such standards/practices to ensure compliance with all regulatory requirements.
Responsible for resolving missing slips and completion of the front desk claims worklist to insure paid and effective billing of AR
Monitor's reporting systems to ensure accounts receivable activities are meeting quality, productivity, and reimbursement goals.
Performs routine analysis of charges, payments, and adjustments.
Implements and maintains processes and resources to effectively bill and collect all accounts receivable.
Follows departmental/hospital policies and procedures.
Monitors documentation for compliance relating to Medicare/Medicaid/governmental/JCAHO rules, regulations and standards and reports potential discrepancies to supervisor
Handles patients, staff, provider, and departmental inquiries of significant issues.
Assists with training/education to ensure staff members maintain a high level of job expertise and compliance
Discuss over-due insurance balances with patients and involves them in resolving balances.
Ensures outstanding balances are addressed with patient and assist with payment arrangements via MSBT when appropriate.
Display a caring and professional attitude at all time as well as maintaining personal and professional growth.
Continuously strives to improve patient satisfaction
Support the development of staff teamwork by being willing to assist patients, visitors, and co-workers when necessary to facilitate a smooth workflow.
Maintain confidentiality of employees' and patients' administrative and medical information, with no infractions.
Adheres to the Adventhealth Corporate Compliance Plan, and to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies.
Completes special projects or performs other duties as assigned by the Office Manager in a timely manner
Other duties as assigned
Qualifications
KNOWLEDGE AND EXPERIENCE STRONGLY PREFERRED:
Extensive knowledge of medical business office procedures
Basic knowledge of coding
Ability to type 40 words per minute accurately
Proficient in Electronic Health Record system
Knowledge of CPT, ICD, and HCPCS coding techniques
Knowledge of Medicare part A/B rules and regulations
Knowledge of medical terminology
EDUCATION AND EXPERIENCE REQUIRED:
Minimum of a High School Diploma or Equivalent
5 years of healthcare medical office experience
Medicare and Medicaid billing background
Extensive customer service background
Organization skills background
EDUCATION AND EXPERIENCE PREFERRED:
Previous staff/billing management background
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.