Medical Biller

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We enjoy what we do every day because we’re part of a team that collaborates and innovates to deliver the best clinical outcomes and patient experiences at hospitals, surgery centers, and medical offices. We share ideas to make healthcare better. We have true work-life balance because we care for our caregivers, too. Join our talented team! Love what you do!

The Medical Biller will partner with the Regional VP of Ops and their colleagues as well as Somnia corporate to ensure every clinical encounter across all sites (Methodist University, North, South and Germantown) results in a billed CPT code and is appropriately documented.

This is a pivotal role for the department as the hospital is currently transitioning from Cerner to Epic. Although most cases involve electronic records, some are generated on paper. This role will also involve managing the external billing company we utilize (Coronis). Tasks will also include oversee and audit.

This role requires onsite presence throughout the hospital network as well as remote work.

Responsibilities of the Medical Biller:

Operations

· Develop and implement process to capture all clinical activities at each facility (Methodist University, North, South and Germantown).

· Reconcile all captured charges to those received by Coronis and also to the various schedules maintained by each area, as well as resolve all discrepancies.

· Data remediation - Remedy any missing, incorrect, or outdated information. For example, transmit payor edit reports to Coronis.

· Ensure that demographic edit reports are run every day and systems are updated to reflect changes (e.g.; insurance changes, name changes, etc.

Transmission

· Electronic - Ensure that all data streams are complete, accurate and contain the required clinical and demographic information to prepare and process claims.

· Paper. Ensure that all clinical and demographic information is scanned and uploaded to server and that Coronis is accessing said information.

Information and Technology

· EDI interchange – monitoring & development between MLBH & EMR systems and Coronis

· Scrub all data to ensure missing or incorrect information is resolved.

Audit

· Conduct audits of each billing provider of no less than 10 claims/year on areas that are relevant to risk management (e.g.; start/end times, supervision/direction, etc.) and, to the extent that. imperfections are detected, re-train and re-educate the department or specific individuals.

Terminal Adjudication

· Become fluent on hospital and Somnia self-pay policies and ensure adherence to them.

· Develop, implement, and maintain a process for the collection of all self-pay receivables, or support a Coronis process.

Education and Training

· Train Practice Administrators to thoroughly scrub paper or electronic records for all the pertinent information[1] as well as well as to otherwise support the RCM processes.

· Prepare quarterly 15 -minute lecture on billing topic for Anesthesia Department.

Communication

· Foster positive communication to enhance the access to timely, high quality, and accurate information on information pertinent to billing with hospital clinical and administrative staff.

· Collaborate with Department Clinicians consistently to resolve open issues pertaining to billing (e.g. ; open charts, information validation, etc.).

· Participate in Dept Meetings.

Billing Company Liaison and Reporting, have the billing company:

· Generate various reports as needed and assigned.

Job Type: Full-time

Compensation: $50,000 annually

Work Location: Memphis, TN onsite

Benefits for the Medical Biller:

· Health | Dental | Vision | Life | Talk-space | Disability

· 401K | Flexible Spending Accounts

· Paid Time Off

About Somnia Anesthesia

Since 1996, Somnia (www.somniainc.com) has had singular focus on anesthesia--investing in clinician professional development—so patients can get the best are possible. We welcome and encourage applicants of all races, colors, genders, religions, sexual orientations, national origins and disabilities, as well those who have served.

Job Type: Full-time

Pay: $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Hospital
• Medical office
• Office
• Private practice
• Teaching hospital

People with a criminal record are encouraged to apply

Application Question(s):

• Do you have experience in billing for anesthesiology services?
• How many years of experience do you have performing billing services for anesthesiology services?
• Please describe what parts of the revenue cycle management cycle you have experience in, by way of example:

i) preauthorization and verification,
ii) chart and document collection and reconciliation to schedule
iii) chart scrubbing
iv) submission to payor or billing company
v) working soft denials
vii) working hard denials
viii) addressing requests for more information
ix) talking with patients to secure balances due (e.g.; copays, deductibles, etc.)
x) liaison with billing company
xii) ensuring electronic data streams are intact and verifying transmission
xiii) creating process-related reports (e.g.; denial reports)
xiv) creating outcome-related reports (e.g.; NCR, GCR, variance from contract)

PLEASE DO NOT COPY AND PASTE THIS LIST AS A RESPONSE but briefly discuss and describe your experience and expertise!

Ability to Relocate:

• Memphis, TN: Relocate before starting work (Required)

Work Location: In person