Billing Specialist, OB/GYN Specialties, (San Rafael), Full Time, Days

Company: MarinHealth Medical Center
Location: San Rafael
Posted on: September 15, 2023

Job Description:

ABOUT MARINHEALTH a UCSF Affiliate

Come and be a part of our healing team at the award-winning MarinHealth! Ranked in the top 3% of general hospitals in the country, we have made great strides since returning to our roots as an independent hospital. As Marin County's only acute hospital and a vital resource for a wide range of essential health care services, it is our mission-and our passion-to excel in every medical specialty. We attract the finest physicians and employees who appreciate having the best of both worlds: the resources and medical sophistication of an academic medical center combined with the personalized, caring touch of an independent hospital. We have an exceptionally collaborative team that adheres to the highest service excellence standards to ensure that we deliver world-class, personalized care to patients. Our Joint-Commission accredited hospital has won numerous awards and certifications in delivering best-in-class health care in the San Francisco Bay Area.

WHAT WE OFFER

MarinHealth offers a generous suite of employee benefits, which includes a comprehensive and rich health benefits program (medical, dental, vision and prescription plans). Our robust Wellness @ Work program (e.g. onsite health & fitness classes, discounts, etc) also promotes a healthier lifestyle for employees and to support you on your Healthy Healer journey. Other benefits include, but are not limited to, a 403(b) contribution plan and company-funded retirement plan, life insurance, vacation, holiday and sick leave, which you will start accruing immediately. Our benefits are highly competitive and considered to be one of the best in the Bay Area! Find your healing place at MarinHealth.

External hires are subject to a background check and pre-employment medical screen . Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with federal, state and local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classifications protected by federal, state & local laws.

General Summary:

Responsible for the coordination of full scope billing in the obstetric/gynecology specialties. In conjunction. Ensures accurate charge capture and management of the reconciliation process. Daily review and working of revenue cycle work queues is essential. Communicates with coding vendor regarding surgical procedures. Trains support staff on appropriate billing procedures. Works with Revenue Cycle Director and practice leadership on overall status of outstanding billing for these specialties.

Essential Functions and Responsibilities:

• Effectively uses application of "Current Procedural Terminology" (CPT) coding system; interprets appropriately and accurately.
• Ensures clinical staff and providers submit proper and accurate documentation for the services being provided.
• Serves as a liaison/resource for clinical and non-clinical staff regarding revenue cycle processes.
• Responsible for completion of all claims and itemized bills daily, with complete accuracy.
• Responsible for the daily review of appropriate reports from Apex and reporting any discrepancies to the Practice Leader.
• Performs quality control functions on claims and itemized bills to ensure overall accuracy to assure prompt and correct payments.
• Fosters effective working relationships with external organizations and agencies as required.
• Responsible for maintaining a strong focus on assigned tasks and at all times being a strong team player.
• Ability to exercise initiative, decision-making, and problem solving.
• Ability to manage multiple tasks in a busy clinical environment.
• Ability to prioritize tasks and manage time efficiently.
• Other duties as assigned Qualifications:
  • Strong interpersonal skills with ability to communicate in a clear and positive manner both verbally and in writing.
  • Ability to read, understand, and follow oral and written instruction with attention to detail required.
  • Ability to problem solve and monitor / track data, identify trends and create solutions.
  • Understanding of insurance payors, prior authorizations and eligibility requirements.
  • Knowledge of computer systems and applications, i.e. Microsoft Office, Excel, Word. Licensure:
    
    --- Coding specialist certification preferred.
    
    Education: n/a
    
    Experience:
    • Minimum 3 years' experience in medical billing.
    • Experience in health care customer service.
    • Experience with Apex/Epic preferred.
    • Experience and current knowledge of ICD10CM, CPT, and HCPCS coding methods. Coding experience a plus. Behavioral Standards:
      
      We have adopted the following standards of behavior in addition to the job responsibilities listed above so we can create and maintain an optimal workplace environment. Your application for this position assumes you agree with and can maintain the following workplace values:
      • Exceptional customer service
      • Professionalism on the phone, in person, and with each other
      • Respectful communication with patients, vendors, volunteers, and co-workers
      • Effective teamwork
      • Ability to maintain a safe work environment
      • A positive attitude
      • A good sense of humor and fun in the workplace
      • Support of each other the patients and the practice
        MarinHealth remains committed to the health and safety of our employees, patients, and the entire community. As such, MarinHealth requires employees to receive all required immunizations, including, MMR, flu (seasonal availability), and COVID-19 vaccine booster, as a condition of employment and annually thereafter, as required. Any exemptions from these requirements may be granted for limited and specific situations.

Keywords: MarinHealth Medical Center, San Rafael , Billing Specialist, OB/GYN Specialties, (San Rafael), Full Time, Days, Healthcare , San Rafael, California