Billing Support Specialist

Overview:

Billing Support Specialist - Department

Schedule: Full Time

Days/Hours: Monday - Friday; 8:30 AM - 5 PM

Pay: $23.00 - $28.74

Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting

Responsibilities:

SUMMARY: Responsible for reviewing and analyzing physicians’ surgical documentation completion, and ensuring proper routing of the charge functions. Coordinate work assigned to outsourcing vendors. Using industry guidelines and best practice standards, reviews vendors performance, handle relationships with vendors.

Job Duties & Essential Functions:

• Using EMR, review charts and send messages to physicians providing specific information required for completing charts.
• Reconcile ED visits with completed coding and identify any unbilled visits using ED registration log.
• Enter coding data into Patient Keeper billing interface.
• Provide data to CPMP Patient Accounts as requested for patient inquiries.
• Perform all other duties as assigned by management.
• Enter coding data into Patient Keeper billing interface.
• Analyze, code and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement.
• Resolve discrepancies on coding related issues.
• Maintain PK files for validity errors.
• Monitor TES Open Encounter file.
• Perform all other duties as assigned by management.
• Complete special department/physician projects.

Qualifications:

Required Qualifications:

• High School Diploma/GED
• Medical Billing & Coding Certificate.
• In lieu of certificate, minimum of three years medical billing related experience in a physician’s office.
• Must have excellent expressive communication skills.
• Computer literate with knowledge of medical insurance policies, reimbursement and medical terminology.
• Experience with Electronic Medical Record system.
• Working knowledge of coding requirements
• Must be highly organized.
• Excellent attention to detail.
• Must be proficient in Microsoft Office Word and Excel.

Preferred Qualifications:

• Bachelor’s degree
• Healthcare experience

Physical Demands:

The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. Any additional physical demands will be outlined and provided by management.

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP.

StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining.

StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.

Given StaffCo’s employment responsibilities, it is deemed the “employer” for employment and labor law purposes. Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY. The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.

Improper interference with the ability of CPMP’s employees to perform their job duties may result in discipline up to and including discharge.