BWPO Billing Assistant

Affiliate Name: Brigham & Women's Physicians Organization
Job Category: Financial/Accounting/Billing
Department: BWPO RADIATION ONCOLOGY
Hours/Week: 40
Job Type: Regular
Employment Type: Full TimeResponsibilities:
The Billing Assistant will help ensure that all professional radiation oncology charges are processed accurately. This includes making sure that all the charges have been collected, coded properly and have the proper ICD9 codes and modifiers. Any delay in the front process will disrupt cash flow and cause insurance denials. This independent working position requires the running of several audit reports, and creating custom reports as needed. This position requires close attention to detail, and will work very closely with the Billing Systems Coordinator and Billing Supervisor.Job Responsibilities'XEnsuring correct demographic and insurance data in IMPAC, IDX and BICS.
'XReview all charges in IMPAC for accuracy. This includes proper combination of CPT codes, proper ICD9 codes, and complete demographic and insurance information. This includes:
'XUpdating payer directory (insurance) and external directory (physician) in IMPAC as needed.
'XEntering charges manually when required.
'XAssist in downloading charges from Radiation Oncology¡¿s IMPAC system and then uploading charges into BWPO Billing System. This includes:
'XEntering charges manually when required.
'XUpdating patient demographic and insurance information in IDX as needed.
'XMake Module corrections when required.
'XRun weekly audit reports to:
'XCapture missing charges for billable services performed by physicians.
'XEnsure timely dictations for all consults and follow-ups for compliance purposes.
'XVerify patient insurance eligibility and assist in obtaining patient referrals for services from physicians and/or insurance companies when necessary.
'XProvide support in the creation of new billing sites (network growth). Making sure that charge codes, referring MD with their ESI, insurance and other demographic information are in place for smooth transition.
'XWork with payers to rectify denied claims (wrong insurance, no referral, bad address, wrong ID number, etc¡K)
'XHandle telephone inquiries and written inquiries from patients regarding their accounts.
'XAssist with chart audits comparing what was billed with documentation provided
REQUIREMENTS
Requirements'XCollege Degree preferred.
'XStrong computer skills necessary to handle a number of different routines and to understand complex patient accounts.
'XStrong interpersonal skills to handle effectively sometimes sensitive patient account situations.
'XGood communications skills to be able to interact with patients, physicians, insurance representatives, administrative contacts, etc.
'XAbility to function independently with only general supervision. Displays initiative and uses good judgment.
'XNeed to be able to troubleshoot problems, develop workable solutions to problems, and to follow-up on problem resolution. Must be able to prioritize work and to handle multiple, sometimes conflicting, tasks using sound judgment.