Billing and Systems Tech

Req#: R25619
Category(s): Finance, Billing
Full Time / Part Time: Per Diem
Shift: First

Summary: 

The Hear & Vascular Billing & Systems Tech reports to the Director of Heart & Vascular (H&V) Imaging and Diagnostics, and is accountable for the daily processing and charge entry for the H&V and Pulmonary Regional Program line. The incumbent is also responsible for rectifying any issues related to facility charges to ensure claims are billed timely and accurately.

Additionally, this position is responsible for developing and maintaining charge processes as well as reconciling charges. The incumbent will work closely with the Senior Business and Applications Analyst, supervisors and managers to obtain correct information for billing and reconciliation. Within the parameters of the position, the H&V Billing & Systems Tech is essential to the entering of charge data into the system resulting in accurate and timely submission of inpatient and outpatient charges and reconciliation.

The incumbent in conjunction with the Senior Business and Applications Analyst will ensure maintenance and integrity of the H&V, and Pulmonary related applications.

Observe all health and safety requirements.

Incumbent is expected to adhere to System and department compliance policies, and any applicable laws and regulations. This description covers the essential functions of the position. Incumbent is expected to perform other similar and related duties as assigned.

Management has the right to change or add to the job responsibilities at any time.

Job Responsibilities: 

1) Exhibits exceptional Customer Service Skills and consistently meets the Baystate Health Operating principles. Communicates effectively and courteously with the team to relay messages in a timely manner in regards to the needs of patients/families.

2) Team work/Unit Support. Works collaboratively with H&V team (staff, and leadership) to perform selected functions that would provide efficient hospital charge throughout.

3) Reviews and ensures that all charge tickets are prepared, batched and entered appropriately using the proper cost center structure for the service(s) provided. Communicate effectively with the BMC leadership to resolve any discrepancies.

4) Accountable for the daily processing and charge entry of all Hospital billing charge tickets from H&V Regional Service line (Baystate Noble, Franklin, Mary Lane and Baystate Medical Center) units. Responsible for identifying and rectifying all hospital edits to ensure claims are billed timely and accurately. Resolves all edits within 48 hours of charge entry. This position is responsible for reconciling missing charges using appropriate defined software and communicating concerns with internal and external management.

5) Knowledge of necessary case documents and appropriate data. Understands processes for collecting missing data. Reviews Charge Tickets for completeness for procedure, drug administration charges: Infusion & Injections. Completes a daily log of charges based on location (reconciliation) this log should contain all documentation where charges could not occur and communicates to appropriate management and departments. Enters patient post case data into Surgical Information System (ORSOS). Enters charge data into SMS. Able to work with appointment books in ORSOS to book add-on cases to allow for post case data entry. Manages documents for archiving or sending to appropriate departments. Working knowledge of multifunction device to copy, fax, scanning, retrieve data within mailboxes as appropriate.

6) System Support:
Ensures the effective, timely problem resolution and constituent support for assigned systems and services. Works closely with stakeholders (physician, end users) and partners to ensure operational standards reliable operations are achieved. Resolves routine to moderately complex technical issues. Works closely with team members on application and integration touch points within the systems. This includes importing CD information from external systems as requested by Physicians, CD creations for patients or Physicians and sending procedure reports to partnering non-BMP providers as requested.

7) System Maintenance:
Maintain Database to include adding New User access setup from eSarf requests, entering additional ICD 10 codes as requested and manages duplicate patient lists.

Required Work Experience: 

1) Previous clerical and customer service

Preferred Work Experience: 

1) previous clerical and customer service in a healthcare setting

Skills and Competencies: 

1) Contributes to a team environment; Exemplifies customer service excellence; Ability to manage multiple tasks; Excellent communication skills, both written and verbal; Flexible; Solutions-oriented; Attention to detail; Able to troubleshoot technical and process issues and document resolutions

2)  Proficient in MS word and MS Excel

You Belong At Baystate

At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.

DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS.

Education:

GED or HiSET (Required)

Certifications:

Equal Employment Opportunity Employer

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