Billing Research Processor II

Medical University of South Carolina; Orangeburg (SC); Sur place; USD 21 000 - 30 000; Plein temps

Résumé du poste

Medical University of South Carolina seeks a billing specialist for MCP to handle account maintenance and payer communications. The role includes updating registrations, processing adjustments, and ensuring accurate postings for research services.

Responsibilities include responding to calls about research billing, researching accounts, and documenting actions. Candidates should be able to maintain productivity and meet quality standards while using EMR and billing systems.

Qualifications

• High School Degree or Equivalent (Education requirement).
• 1 year of work experience as stated.

Responsabilités

• Account maintenance: update registrations, perform charge corrections, debits and credits memos per policies.
• Post payments to the appropriate system for research-related services; resolve payment issues by communicating and gathering information.
• Respond to incoming calls related to research billing; research accounts and take appropriate actions while documenting findings.
• Review accounts on hold with charges for research services; add diagnosis/modifiers as needed.
• Maintain up-to-date knowledge of payer requirements; read payer newsletters and communicate changes or trends.
• Maintain productivity and meet 80% quality standards set by the department; achieve department production goals.
• Perform other related duties; use EMR and billing systems.

Formation

High School Degree

Description du poste

Job Description Summary

Entity

MUSC Community Physicians (MCP)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC004513 MCP - Revenue Cycle

Pay Rate Type

Hourly

Pay Grade

Health-22

Scheduled Weekly Hours

40

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

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.

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