Billing Representative, Central Billing Office 1.0 Days in Marquette, MI at UP Health System- Marquette

Date Posted: 11/17/2021

Job Snapshot

Employee Type:

Day shift, 7-10 hr/shift, weekdays only
Location:

Marquette, MI
Job Type:

Health Care

About Us

As a 307-bed specialty care hospital, UP Health System – Marquette receives patients from across the UP and provides care in 65 specialties and subspecialties. Its medical staff of more than 200 doctors works as a team with its more than 1,800 employees in caring for approximately 9,000 inpatients and more than 350,000 outpatients per year. For more information on UP Health System- Marquette please visit: http://www.workatuphs.com/

Job Description

UP Health System - Marquette

Reconciles and posts all payments received, identifies discrepancies and analyzes issues to ensure payments are posted timely.

Responsible for reviewing and maintaining charge description master (CDM), and/or other pertinent regulations and policies, ensuring all data elements are accurate and comply with all payor requirements.

Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of maximum revenue.

Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate and to minimize misbillings.

Resolves issues that arise from information submitted and revenue cycle issues.

Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments.

Performs appointment scheduling, obtains prior authorizations and schedules hospital procedures/tests.

Job Requirements

Minimum Education

High school diploma or equivalent

*Years of relevant experience may be substituted for required education.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Must have thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic; HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC).

Minimum Work Experience

1 year clerical experience (Preferred)

LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.

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