Billing Specialist Jobs

• Standard Work Schedule:
• Regular/Temporary: Regular
• Job Type: Officer of Administration
• Salary Range: $60,000 - $63,000
• Hours Per Week: 35
• Bargaining Unit:
• End Date if Temporary:
• Building:

Position Summary

Reporting to the Administrative Supervisor & Pain Center Billing Specialist our Columbia Doctors Pain Medicine practice is seeking a seasoned professional to increase efficiency and streamline financial procedures. The candidate will be responsible for timely and accurate appointment scheduling for our team of providers and the financial clearance of our customers following office protocols.

Responsibilities

• Schedule and reschedule as necessary all appointments, utilizes existing tools to facilitate securing the right medical provider, documents patient special needs and accommodations, ensures that patients understand the arrival and check in process, provides patient with all pre-appointment information as needed.
• Inform patients of insurance and billing protocols including ABNs and patient responsibility for non-covered services.
• Keep informed of updates to managed care payer rules that apply to office visits and pain procedures as well as medical and payment policies.
• Update Epic registration, add guarantor notes, and manage assigned patient work queues for missing information.
• Obtain financial information from patients/referring physicians for scheduled appointments, scan patient information into Epic.
• Confirm that the correct payer/plan and guarantor account are linked to the appointment.
• Inform Front End Supervisor of issues or concerns relating to the practice, assist Supervisor with special projects and tasks.
• Collect time of service payments, copayments/deductibles and previous balances following Columbia Doctors cash handling protocols, provide patients with receipts.
• Capture Worker’s Comp and No-Fault information as it applies and verify that all case information is open and valid.
• Participate in meetings regarding the practice.
• Contacts patient and PCP to secure payer required referral for planned services.
• Encourage patient usage of Columbia Doctors patient portal.
• Determine payer referral and authorization requirements using payer portals or telephone and ensure that all insurance information, authorizations, and referrals are in place prior to appointment.
• Greet patients, confirm demographic and insurance information, and arrive patient appointments in Epic.
• Maintain access to all appropriate payer portals.
• Interface with billing and coding teams as needed.
• Assist in maintenance and creation of appointment scheduling templates.
• Review and work the daily Televox report by canceling and rescheduling the patients in Epic Book-It.
• Manage faxes, emails, and phone calls.
• Responsible for working in-basket messages daily regarding referrals and requests for appointment scheduling.
• Process credit cards, checks and cash payments and post information in Epic.
• Confirm provider participation status with patient’s insurance plan/network.
• Calculate and document patient out of pocket estimates for non-par and non-covered services.
• Initiates authorization and submits clinical documentation as requested by insurance companies, follow-up with insurers on authorization denials and work with providers to resolve issues, follows through on pre-certifications until final approval is obtained.

Minimum Qualifications

• Bachelor's degree or equivalent in education and experience, plus two to three years of related experience in the healthcare industry.
• Strong organizational, problem-solving, computer, and communication skills are essential, as is the ability to take initiative on a variety of complex issues in a robust faculty practice.
• Experience in an academic medical center or a busy physician practice is a must.
• Epic experience is highly desirable.
• Excellent client service skills required.
• Significantly working knowledge of a clinical revenue system, and various software programs such as Excel and Work is required.

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.