Healthcare Billing Specialist

Reference #: R02311822476 Swedesford RdSTE 150,Malvern,Pennsylvania,19355-1456,United States of AmericaSchedule:Monday-Friday | One-Two Days in OfficeGeneral Purpose of the Job:This position ensures proper Billing Setup, coordination and communication for all new and existing DaVita Dialysis centers. This team safeguards the data and ensures it is accurate and current for appropriate billing setup. We work closely with many different teams throughout the Village. Two main key accountabilities we have for this lane are Month End Close Responsibilities and Daily day to day OPS which includes things such as Held Revenue Management, BPU Processing, Adjustments, Non-Covered Non Bill request, Service Now claim troubleshooting, etc.This position also develops, maintains, and communicates information relative to the day-to-day operationsSalary/ Wage Range: starting at $20/hour.Duties and Responsibilities:Work daily requests through Service now, troubleshooting claim remediation; providing timely and accurately completion of Service Now TicketsConsistent Follows-up as liaison between our ROPS Partners, IT, Manestream collections, Team Accela lanes and others within the Village and field.Communicate Held Revenue Issues to appropriate departmentsHeld Revenue Management, which includes things such as owning the accountability Metrics and ROPS Leadership accountability trackerWork with partners to ensure the CER- Claim exception Report, is worked weekly and claims are remediated timely.Tracking and Issue Management for all HOLD that are implemented (ePremis, PCHQ, and NS). This includes, Purpose, Management and Remediation process to ensure claims are released timelyWorking weekly reports to ensure any HOLDs that are assigned to a teammate are being touched weekly/Monthly (CER, TF High RISK, etc).Overall, this team will work on items such as Regenerations, Split Ticket Requests, ICR Requests, Services not billing, NCBC- Non cover, Non Bill Items, which will result in accurate billing and mitigating Risk.Complete Month end close, timely. Ensure that each center Snappy/CWOW has closed their period for the month.MEC- Work any billing Exceptions within the month, resolve for appropriate billing.Partner with ROPS areas as well as Field teammates to ensure we get the appropriate clinical documentation needed to bill.Performs additional process reviews as directed by the Revenue Integrity Supervisor & manager; identifies opportunities for improvement and implements changes as directedMaintains current knowledge of all applicable department and company policies and processes; maintains current knowledge of all applicable billing and A/R-related systemsUAT- Test billing system enhancements prior to implementationAble to think outside of the box for solutions to complex problemsCollaborates with other ROPS teams, Team Accela Lanes, Setup Lanes, Compliance, IT, G-Force, and Legal Teams as necessary to resolve issuesOther Duties Include:Manages projects that arise as a result of various initiativesWork overtime with little or no notice as neededAttend team meetings, phone conferences, and training as neededKnow, understand, and follow teammate guidelines, employment policies, and department or company proceduresConsistent, regular, punctual attendance as scheduled is an essential responsibility of this positionMinimum Qualifications:High school diploma or equivalent requiredAssociate's degree in related area or a combination of education and progressively responsible work experience in related area may be substituted in lieu of degree on a year-for-year basisDetail oriented and very organizedMinimum of one year of project management experienceIntermediate skills in electronic billing systems preferredHealthcare and medical billing/collections experience is preferredMinimum of one year of medical billing, insurance verification, or related experience preferredIntermediate computer skills and proficiency in MS Word, Excel, PowerPoint, Access, and Outlo