Revenue Integrity Billing QA & Compliance Specialist

Premier Health Partners; Moraine (OH); On-site; USD 52,000 - 66,000; Full time

Job summary

Premier Health Partners seeks a Patient Financial Services Specialist to review inpatient and outpatient accounts for billing and coding compliance, ensuring accurate documentation and appropriate charges. The role involves monitoring billing quality and following up on outstanding accounts in the billing queues.

With 3-5 years of revenue cycle experience, you should have strong Microsoft Office skills and knowledge of Medicare regulations related to charging and reimbursement.

Qualifications

• Must have 3-5 years of job-related experience.
• Knowledge of Medicare regulations related to charging and reimbursement preferred.
• Experience with hospital billing and follow-up preferred.
• Familiarity with medical terminology and DRG assignments is a plus.

Responsibilities

• Review inpatient and outpatient accounts for billing and coding compliance.
• Monitor quality of billing and review accounts for proper documentation to validate billing information.
• Handle follow-up on outstanding accounts in billing and follow-up work queues.
• Understand reimbursement aspects of the revenue cycle to ensure appropriate charges billed.
• Stay informed on governmental rules regarding chargeable versus payable and compliance claims.
• Monitor timely billing and follow-up of clinical trial accounts if applicable.

Skills

Microsoft Office

Training & Education

Education

High School Diploma / GED

Associate degree in Healthcare, Business Administration, Health Information Management

Job description

Premier Health Partners seeks a Patient Financial Services Specialist to review inpatient and outpatient accounts for billing and coding compliance, ensuring accurate documentation and appropriate charges. The role involves monitoring billing quality and following up on outstanding accounts in the billing queues.

With 3-5 years of revenue cycle experience, you should have strong Microsoft Office skills and knowledge of Medicare regulations related to charging and reimbursement.