OBGYN Billing Analyst

Job Details

OBGYN Billing Analyst

Job Description

Provides professional and technical billing support to the Department OBGYN.   Analyzes all aspects of the Physician/Technical billings to ensure compliance and reimbursement maximization.  Responsibilities include coding encounters for diagnosis and CPT codes and ensuring that they are properly entered into the system. Ensure that billing is obtained and charges entered for all providers in each practice site. Reviews physician and hospital billing practices against documentation in the medical record to ensure compliance with all federal, state and third-party billing requirements, rules and regulations.

Manager - 3-5 sentence statement generally describing the position (not bullet points). Please summarize job duties, scope at a high level.

Essential Functions

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

• Review diagnosis codes and CPT procedure codes being used.  Assures Physician has used appropriate codes for all outpatient and inpatient encounters.
• Provide financial counseling to patients; answer inquiries concerning patient bills; 

• Maintain quality assurance so that all charges are accounted for and entered into the billing system by using daily provider schedules.  Develops system for tracking inpatient charges.
• Keep abreast of changes in 3rd party physician reimbursement regulations; develop and implement new billing procedures as needed.

• Manages the hospital denial reports; research denials; corresponds with appropriate individuals within AEHN or with 3rd parties to rectify.  Compose and direct use of appeal letters to specific insurance carriers. 

• Maintains and reports month-end accruals and IDX monthly revenue reports.

• Review/input of patient demographic and insurance information to ensure charges are generated as appropriate.

Competencies (Knowledge, Skills, and Abilities Required):

IDX experience preferred

Cerner

RCX Rules

Minimum Education and Experience Requirements:

Education:

High School Diploma (or equivalency)

Associate’s Degree preferred

AND

Experience:

“2 years  of experience in billing, coding, revenue cycle required”

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Albert Einstein Medical Center

Primary Location Address

5501 Old York Road, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.