Registration Capture Specialist, Revenue Integrity

Registration Capture Specialist, Revenue Integrity - 21613

US:

TX:

Edinburg | Financial Services | Full Time

DHR Health - US:

TX:

Edinburg - Days

Summary:

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

This position is responsible for the analyzing, posting and correction of hospital charges submitted to the change entry unit, in order to send compliant billing to the insurance carriers and patients.

POSITION EDUCATION/

QUALIFICATIONS:

• High school diploma/GED is required.
• One to two (1-2) years of hospital billing experience may substitute for educational requirements.
• Previous healthcare experience (1-2 yrs.) is required, hospital experience preferred.
• Comprehensive knowledge of healthcare reimbursement, medical terminology, CPT, ICD, and HCPCS codes.
• Good written and verbal communication skills are required.
• Ability to read, write and speak English
• Ability to communicate clearly and concisely with all levels of management.

JOB KNOWLEDGE/

EXPERIENCE:

• One – Two (1-2) years Hospital billing experience preferred
• Medical Terminology, ICD-9 Codes, CPT Codes, HCPCS code, Modifier knowledge is preferred
• Understanding of hospital chargeable supplies, preferred
• Microsoft office suite computer skills are required, Excel knowledge preferred.
• Requires good communication and organizational skills.
• Requires reasoning ability, analytical skills and good independent judgment.
• Requires working with frequent interruptions.

Responsibilities:

POSITION RESPONSIBILITIES:

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Receives batches from Urology Clinic and accurately registers patient in Paragon
• Input CPT and/or HCPCS procedure-based charges from patient 3M coding abstracts and modifiers into the patient accounting system.
• Ability to identify and input charges according to primary and secondary procedural charges, when multiple procedures are performed
• Review account for charge completeness and/or corrections and remove ‘bill hold” flag indicator on completed accounts.
• Review and correct any date or quantity discrepancies on patient accounts.
• Accurately removes and adds incorrect charges or adds missing charges as needed.
• Daily obtains departmental charges and schedules to reconcile patient charge sheets against final daily schedule and input charges.
• Investigate, add or remove charges/codes for the coding department, Auditor and/or Billing Department as necessary.
• Identify charge codes and mark-up charge amounts for all departments.
• Identify and input supply charges from “green sheets”
• Notify billers of corrections re-bills that are received from coders via email or abstracts.
• Identify and place accounts on hold to prevent late charges.
• Ability to run Crystal reports and Paragon reports
• Demonstrates knowledge in accessing EMR patient record for additional billing information needed.
• Other duties as assigned.

LINES OF RESPONSIBILITIES:

(Chain-of-command)

Other information:

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program, which outlines the Customer Service Principals including Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the…