Billing Research Processor II

Medical University of South Carolina; United States; Remote; USD 25,000 - 39,000; Full time

Job summary

Medical University of South Carolina (MUSC) Community Physicians (MCP) is seeking an Accounts Billing Clerk to maintain research billing accounts, update registrations, and process charge corrections and denials. The role involves posting payments, resolving payer issues, and documenting actions for research-related services.

You will respond to calls related to research billing, review on-hold accounts, and stay current with payer newsletters and trends.

Qualifications

• Education: High School Degree or Equivalent.
• Work Experience: 1 year.
• Familiarity with electronic medical records and billing systems.

Responsibilities

• Account maintenance: update registrations, process adjustments and denials per policy.
• Post payments to appropriate systems for research-related services and resolve payment issues with payers.
• Respond to incoming calls related to research billing and document actions taken on accounts.
• Review accounts on hold with charges for research billing and add related diagnosis/modifiers as needed.
• Maintain knowledge of payer requirements and communicate payer/claim issues and trends.
• Maintain productivity and meet 80% quality standards set by the department.
• Other related duties as assigned.

Education

High School Degree or Equivalent

Job description

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

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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