What are the responsibilities and job description for the BILLING SPECIALIST II position at CommonSpirit Health?
Overview :
Saint Joseph Hospital is a 433-bed facility located in Lexington Kentucky. Founded in 1877 a small group of Sisters of Charity of Nazareth in Kentucky led by Sister Euphrasia Stafford began their health ministry. Their mission was to provide compassionate care to the poor and underserved a tradition still carried out today. Saint Joseph Hospital primarily serves central and eastern Kentucky with a full range of services including distinguished awards for cardiology orthopedics and stroke care. CHI Saint Joseph Health supports 5000 active employees 8 hospitals specialty clinics and a Medical Group with more than 200 locations across Central and Eastern KY. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Responsibilities :
JOB SUMMARY / PURPOSE
The billing specialist is primarily responsible for entering data and documents into the EHR and assisting the HIM
Coordinator with charge functions. This position also encompasses compiling and maintaining records of charges for
services rendered to Cancer Care patients for both technical and professional charges, efficient entry of charges and
reconciliation of charges.
ESSENTIAL KEY JOB RESPONSIBILITIES
1. Import transcribed documents into Mosaiq for all oncologists and mid-level practitioners in the Lexington
market.
2. Make corrections to transcribed documents in Mosaiq as directed by oncologists and mid-level practitioners.
3. Move transcribed documents into approval queue for the oncologists and mid-level practitioners.
4. Reconcile charges from STAR batch reports on a daily basis for each Lexington market oncology practice.
5. Make manual charge corrections in STAR to rectify non-reconciled charges.
6. Collect EOBs and send to lockbox.
7. Make copies of payments received from insurance companies and send to lockbox.
8. Collect, code and take received payments to hospital Cashier.
9. Take patient calls for professional fees questions and refer to appropriate third-party billing company for
resolution of issues.
10. Monitors scan folders to ensure documents are imported into Mosaiq in a timely fashion.
a. This applies to clinical documentation only. Patient access documentation is the responsibility of Conifer
staff.
11. Coordinates copies of medical documentation with physician charges to support billing to third-party payers for
both hospital (technical) and professional services.
12. Files and enters billing for patients into system and analyzes patient accounts to ensure billing is accurate.
13. Resolves routine patient billing inquiries and problems, handling follow-up questions from patients, resolving
discrepancies or errors.
14. Reviews medical coding as necessary and enters patient charges into billing applications.
15. Other duties as assigned by management.
The job summary and responsibilities listed above are designed to indicate the general nature of the work performed
within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities
required of employees assigned to this job. Employees may be required to perform other duties as assigned.
Qualifications :
Required Education and Experience : High school diploma or equivalent required
Required Licensure and Certifications : N / A
Required Minimum Knowledge, Skills, Abilities
and Training :
Must be experienced with MS Excel and MS Word.
2 years experience in healthcare environment
Experience with Oncology medical coding and billing
