Billing Support Specialist
Job in
Denver, Denver County, Colorado, 80285, USA
Listing for:
National Jewish Health
Full Time
position
Listed on 2026-02-22
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly
USD
60000.00
80000.00
YEAR
Job Description & How to Apply Below
Summary
Position Summary Provides billing support for the Advanced Diagnostic Laboratories (ADx) ponsible for coordinating and monitoring the flow of billing data within the clinical laboratory departments and other information system databases. Analyzes and evaluates clinical financial data recognizes inconsistencies and initiates the resolution of billing problems. Assists Client Services to immediately resolve billing inconsistencies and delinquent data. Implements billing plans designed to meet timely billing deadlines and consult the Patient Financial Services (PFS) Department when applicable.
Acts as liaison between ADx and the PFS Department to facilitate problem solving. Responsible for billing data diagnosis discharge and exception reports generated by the billing information systems to promote accurate financial billing.
Essential Duties
Establishes and maintains ADx financial policies and procedures. Ensures that ADx complies with all College of American Pathologists (CAP) and HIPAA requirements.Maintains clinical billing compliance for inpatient and outpatient (Client Accounts) with Medicare Medicaid Institutional Guarantors and other private insurances for accurate successful reimbursement.Performs database surveillance and maintenance for all billing applications and interfaces. Maintains high standards of performance for operation of all Detailed Financial Transactions (DFTs). Monitors billing interfaces. Reconciles price and CPT changes for reference lab testing.Investigates new and emerging CPT coding that will enhance the billing in the LIS including but not limited to DRGs CPTs 837 (Medicare exception report) and timely billing practices.Uses LIS and HIS auditing reports to verify the accuracy of patient and client billing.Responsible for error reports (EXR/SIN/BR) and DFTs of clinical application system.Troubleshoots billing issues to a point of adequate resolution or until the issues are at least identified as to cause and effect. Troubleshoots all issues related to the patient billing interface including coordination of late charges and establishing necessary accounts in the HIS.Instructs users of the proper use of billing application programs including:
Quick-OP Admits Sunquest GUI Manual Billing and Charge Master Verification.Assists with the performance of a variety of client services issues when delinquent billing data is received. Including but not limited to Admitting Discharging and Transferring (ADT) of patient data Insurance (Third party billing) UPIN EDI NPI SSN Diagnosis and Guarantor entry.Processes check and credit card payments using online system.Performs product verification/validation and document outcomes of billing software and/or hardware changes or enhancements implemented.Moves charges when necessary to assure accurate billing derived out of the LIS and HIS.Analyzes processes and applies critical thinking skills to the LIS and HIS and EMR systems. Serves as a backup to the LIS staff for new client accounts.Clerical duties may include using printers faxes and sending mail deliveries to on-campus locations requisition scanning handling phone calls filing archiving labeling sorting and photocopying.Other Duties
None
Competencies
Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.Attention to Detail: Accomplishing tasks by considering all areas involved no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.Collaboration/Teamwork: Cooperates with others to accomplish common goals; works with employees within and across his/her department to achieve shared goals; treats others with dignity and respect…
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