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Salary- Job Type: Officer of Administration
- Bargaining Unit:
- Regular/Temporary: Regular
- End Date if Temporary:
- Hours Per Week: 35
- Standard Work Schedule:
- Building: Medical Center
- Salary Range: $70,000 - $75,000
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.
Position Summary
The Billing Specialist will report to the Manager of Revenue Cycle and Billing Operations and will be responsible for billing processes including verification of benefits, prior authorizations, charge entry, claim submission, and claim denials/appeals.
Responsibilities
- Utilize and multitask across all department systems (Epic, Aria and Outlook) to fulfill billing processes.
- Correspond with insurance companies to complete verification of benefits for patients.
- Update insurance information as needed.
- Assemble required medical documentation for prior authorization submissions.
- Send, request, and obtain insurance-required prior authorization forms and any other prior authorization requirements from radiation oncology attendings.
- Submit for prior authorizations online, via telephone, and fax including (1) initial submissions, (2) medical review submissions, (3) scheduling peer-to-peer reviews, (4) health plan appeal submissions, and (5) state level appeal submissions.
- Track, manage, document (in excel) and communicate the status of prior authorizations to the administrative and clinical team via email and telephone correspondence.
- Re-submit and obtain prior authorizations when necessary.
- Assign referrals and maintain prior authorization work queues in Epic.
- Responsible for charge entry and claim submissions in Epic.
- Maintain charge entry work queues in Epic.
- Manage claim denials processes including charge correction, assemble medical documentation and patients’ Explanation of Benefits, reconsideration submissions, appeal submissions, and maintain denials work queues in Epic.
- Scan, upload and EHR file billing related documents related to approvals and denials.
- Correspond with patients to answer and/or resolve billing-related questions/concerns/inquiries.
- Provide front-desk coverage for the department’s billing representative when needed. Responsibilities include confirming verification of benefits, verifying and updating insurance information, verifying and obtaining required referrals prior to patient appointments.
- At the time of appointment, responsibilities include meeting with patients at check-in to educate/review patient registration information, Connect Patient Portal, insurance cards & photo ID, insurance coverage and benefits, prior authorization and billing processes, and collect copays & balances. Document conversation details in Epic post-appointment.
- Additional duties & responsibilities as assigned/requested.
Minimum Qualifications
- Bachelor’s degree or equivalent, plus three years of related experience in health-related field.
- Certified Professional Coder (CPC) certification preferred.
Preferred Qualifications
- Team-oriented.
- Energetic multi-tasker and willing learner.
- Excellent verbal and written communication skills.
- Organized and detail oriented.
- Time management skills.
- Ability to communicate in Spanish with a large Hispanic patient population.
Equal Opportunity Employer / Disability / Veteran
Columbia University is committed to the hiring of qualified local residents.
