Billing Research Processor II

Medical University of South Carolina; Columbia (SC); Vor Ort; USD 28.000 - 39.000; Vollzeit

Zusammenfassung

The Medical University of South Carolina (MUSC) seeks a detail-oriented individual for the Research Billing Accounts role within the MCP division. Responsibilities include maintaining accounts, processing corrections, and posting payments for research-related services.

The candidate will handle denials, respond to payer inquiries, and document actions while monitoring payer trends to improve efficiency. A high school degree or equivalent and 1 year of related work experience are required.

Qualifikationen

• High School degree or equivalent; 1 year of related work experience.

Aufgaben

• Account maintenance and updates to ensure accuracy.
• Process adjustments and denials according to policies.
• Post payments to the appropriate system for research-related services.
• Respond to payer inquiries and communicate needed information.
• Identify payer issues and trends to improve operations.

Ausbildung

High School Degree or Equivalent Work Experience: 1 year

Jobbeschreibung

Job Description Summary

MUSC Community Physicians (MCP)

• Worker TypeEmployee
• Worker Sub-TypeRegular
• Cost CenterCC004513 MCP - Revenue Cycle
• Pay Rate TypeHourly
• Pay GradeHealth-22
• Scheduled Weekly Hours40

Work Shift: Job Description

Account maintenance: Processes maintenance or other tasks necessary to ensure account is accurate, including such tasks as updating registration, charge corrections, debit and credit memos, etc.

Processes adjustments and denials according to policies and procedures.

Notifies management of payer issues.

Post payment to appropriate system for research related services.

Resolves any problems relating to payment on accounts by communicating and gathering necessary information.

Responds to incoming calls related to research billing.

Research accounts and determine appropriate action to take while also documenting actions taken on account.

Keep management aware of issues and trends to enhance the team's operations.

Reviews all accounts on hold that include charges for services associated with research billing.

Add appropriate research related diagnosis and/or modifiers.

Maintains current and up to date knowledge, requirements, and skills for the facility, unit, and payers.

Reads all applicable payer newsletters upon receipt.

Identifies and communicates changes or payer/claim issues and trends.

Maintains productivity and meets 80% quality standards set forth by the department.

Must achieve and maintain the minimum departmental production goals (after Quality review).

Other related duties as assigned.

Use electronic medical record and billing systems.

Additional Job Description

Education: High School Degree or Equivalent Work Experience: 1 year

Equal Opportunity Employer

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

E-Verify

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