Under general supervision, coordinates billing activities;
ensures maximum reimbursements and compliance with departmental, University, University
Medical Group, IDX billing system, and healthcare governing agency policies and
procedures; supervises staff; provides data and prepares reports.
CHARACTERISTIC JOB TASKS AND RESPONSIBILITIES
May include any and/or all of the following:
Monitors billing procedures and documentation, and provides updates regarding
reimbursement and regulatory compliance; conducts periodic audits; maintains files;
maintains resource library related to department coding and billing regulations and
Supervises, hires and orients billing staff; assigns work, develops work schedules, and
instructs in proper billing procedures; assists with development and revision of
departmental billing processes/procedures; monitors staff performance and provides
feedback; ensures staff is obtaining adequate billing information; provides opportunity
for associated billing training for staff.
Assigns accurate billing codes; selects appropriate account for charge entry; posts
charges; verifies billing from reports and other source documents; ensures reconciliation
of revenues and charges; maintains statistics; prepares charge and billing reports.
Reviews and follows-up on denials and reimbursement relative to coding and charge entry
processes to maximize cash flow, reimbursement, and to assure regulatory compliance;
provides assistance with revenue projections.
May coordinate UMG faculty credentialing and hospital privileges; performs other duties
KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS
Knowledge of billing, reimbursement, and third-party regulations
Knowledge of University and healthcare governing agency policies and procedures
Knowledge of medical terminology
Interpersonal/human relations skills
Verbal and written communication skills
Planning and organizational skills
Ability to code procedures and diagnoses using CPT and ICD-9 coding
Ability to interpret accounts and records, and develop spreadsheets and reports
Ability to perform basic bookkeeping and compile statistics
Ability to type, and operate personal computer and various office equipment
Ability to prepare reports, and maintain records and files
Ability to extract data from conversations and documents
Ability to maintain confidentiality
Education and experience equivalent to:
Associate's degree; supplemented with three (3) years of related work
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