Overview
JOB DESCRIPTION OVERVIEW: Billing Systems Support Coordinator is responsible for handling IDX dictionary file set up, queries, month end, reports and processes. Accurately maintains production to ensure timely and efficient completion.
Responsibilities
Research with carrier claim logic problems and changes
Review and complete Onbase Reports for claim issues that need researched, tested, and signed off
Review of IDX for new facility start-ups
Review In-Use or On Hold batches at month-end closing BAR and PCS
Write and generate queries for internal and external report request
Maintains knowledge of Informatics and generates reports
Coordinate and communicate with IDXM on complex report request and claim issues
Read and report pertinent information to claims filing requirements impacting Billing Center processes for all carriers submitting newsletters
Review and provide comments to Unbilled Charges Exception Report
Complete ETM Edit Escalated work flow
Add Sanction Dates for Providers and Submit claim issues for Asst providers to hold
Assist in any special project requested by management
Process and upload the AB75 San Joaquin County Claim File
Run UDA report and transfer invoices past the filing limit or invoices not processed for payment due to no available funds to PR
Maintain the completion of the claim issues log.
Complete AES Group Module request form Registration.
Complete claim refiled related to resolved claim issues.
Communicate EMC Syntax functional errors to appropriate department.
Participate in Claim Issue Meeting on biweekly basis.
Participate in monthly meeting with Patient Accounts management.
Qualifications / Experience
High school diploma or equivalent required.
Demonstrated knowledge of physician billing.
Excellent oral and written communication.
Computer literate.
Excellent follow-up skills.
Excellent organizational skills.
Detailed oriented.
Supervisory Responsibilities
None
Location
Remote
Working Level
Full-Time
Job Category
Healthcare, Insurance, QA-Quality Control
LinkedIn: No
Career Builder: Yes
ID: 57822BR