Billing Research Processor II

Medical University of South Carolina (MUSC); United States; On-site; USD 37,000 - 58,000; Full time

Job summary

The Medical University of South Carolina (MUSC) Community Physicians is seeking an employee to handle account maintenance and research billing tasks. You will update registrations, process corrections, and denials, and inform management of payer issues.

You will post payments, resolve payment problems, and respond to calls related to research billing, while documenting actions and staying current with payer requirements. EMR and billing systems are used daily.

Qualifications

• High School Degree or Equivalent required.
• 1 year of related work experience required.

Responsibilities

• Account maintenance: update registrations, process charge corrections, debit/credit memos, and denials per policies.
• Post payments for research services and resolve payment issues by gathering information and communicating with payers.
• Respond to incoming calls related to research billing and document actions taken on accounts.
• Review accounts on hold with charges for research services; add appropriate research-related diagnosis/modifiers.
• Maintain up-to-date knowledge of payer requirements and communicate changes or trends to management.
• Maintain productivity and meet 80% quality standards set by the department.
• Achieve and maintain minimum departmental production goals after quality review.
• Other related duties as assigned.
• Use electronic medical record and billing systems.

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

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.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees