Billing Specialist Jobs

538033
Medical Center
Anesthesiology
Full Time
Opening on: Aug 1 2023
Grade 103
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Job Type: Officer of Administration
Bargaining Unit:
Regular/Temporary: Regular
End Date if Temporary:
Hours Per Week: 35
Standard Work Schedule:
Building:
Salary Range: $60,000 - $63,000
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.
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.
Confirm provider participation status with patient’s insurance plan/network.
Encourage patient usage of Columbia Doctors patient portal.
Inform patients of insurance and billing protocols including ABNs and patient responsibility for non-covered services.
Calculate and document patient out of pocket estimates for non-par and non-covered services.
Obtain financial information from patients/referring physicians for scheduled appointments, scan patient information into Epic.
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.
Maintain access to all appropriate payer portals.
Contacts patient and PCP to secure payer required referral for planned services.
Confirm that the correct payer/plan and guarantor account are linked to the appointment.
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.
Capture Worker’s Comp and No-Fault information as it applies and verify that all case information is open and valid.
Update Epic registration, add guarantor notes, and manage assigned patient work queues for missing information.
Greet patients, confirm demographic and insurance information, and arrive patient appointments in Epic.
Collect time of service payments, copayments/deductibles and previous balances following Columbia Doctors cash handling protocols, provide patients with receipts.
Process credit cards, checks and cash payments and post information in Epic.
Responsible for working in-basket messages daily regarding referrals and requests for appointment scheduling.
Review and work the daily Televox report by canceling and rescheduling the patients in Epic Book-It.
Keep informed of updates to managed care payer rules that apply to office visits and pain procedures as well as medical and payment policies.
Assist in maintenance and creation of appointment scheduling templates.
Inform Front End Supervisor of issues or concerns relating to the practice, assist Supervisor with special projects and tasks.
Interface with billing and coding teams as needed.
Participate in meetings regarding the practice.
Manage faxes, emails, and phone calls.
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.
Excellent client service skills required.
Experience in an academic medical center or a busy physician practice is a must.
Significantly working knowledge of a clinical revenue system, and various software programs such as Excel and Work is required.
Epic experience is highly desirable.
Equal Opportunity Employer / Disability / Veteran
Columbia University is committed to the hiring of qualified local residents.