Pathology and Laboratory Medicine. Tasks consist of: making sure charge entry and coding is right, sending charges through billing
system daily, sending charges through mail weekly and registration for customer service. The Medical Billing Specialist solves uncertain
products and helps in the healing of rejections relative to client accounts and takes part in supporting the Revenue Cycle.
1. Gathers all needed details for correct charge entry and billing; fixes up information that crosses the user interface in billing
batches, CPT Codes or fixes missing/incorrect aspects to send electronic billing.
2. Put together billing Chutes day-to-day (M-F)– Hospital Billing (HB), Professional Billing (PB), Prof and No Charge (NC). Repair any mistakes
in chutes prior to sending out to EPIC, verify
3. Evaluations expert billing report to make sure that all services are correctly recorded within the report. Obtains addendum
reports from pathologists for any impressive charges not recorded.
4. Proper name modifications, sex, and DOB’s on all mismatched accessions and include account details in CoPath for Pathology and
Cytology laboratory specimens. After correction of acct/name modifications and so on– Resend accessions to EPIC.
5. Make sure all Upham’s Corner Health Center cases are signed up.
6. Register and costs all Professional consults.
7. Gather CP billing charge slips from Lab. Guarantee info is total and signed by Pathologist. Get account numbers
and medical diagnosis codes on all CP billing that is done by hand in the laboratory (Hematology, Chemistry, Blood Bank charges). Send out in
batches to CHC.
8. Gather charge card payments for out-of-state Amyloid cases.
9. Include all charges/tests for Amyloid screening (consults and hereditary blood tests)
10 Assign CPT codes to pathology and cytology reports.
11. Make sure all pathology/cytology cases are billed precisely and recorded to show all charges sent.
12. Evaluation and guarantee all charges are recorded within the Pathology Information system.
13. Handle edits and rejections on expert billing working carefully with the Professional Billing Office (PBO) and Change
Healthcare (CHC).
14. React to expert coder CHC inquiries on medical diagnosis, dates of service, and so on
15. Handle several EPIC work-queues (WQs) for claim edits, insufficient details, and rejections.
16. Work Interface mistakes within EPIC
17. Keep Billing Fee Code dictionary in CoPath, include CPT’s for brand-new tests and established charge schedule in CoPath.
18. Handle annual CPT code additions/changes/update for significance within Pathology.18 Guarantee just technical charges are billed for Skin biopsy– if required register clients in EPIC for billing.20 Response billing queries from doctors and personnel. Preserve cooperative working relationships with all consumers (consisting of clients and outdoors contacts) and react to ask for info in a timely and polite way.21 Complies with healthcare facility requirements of efficiency and conduct, consisting of those referring to client rights, so that the very best possible customer support and client care might be offered.22 Uses healthcare facility’s behavioral requirements as the basis for choice making and to assist in the department and the healthcare facility’s objectives and objective.23 Follows developed health center infection control and security treatments.24 Carries out other tasks as needed Adheres to all of BMC’s RESPECT behavioral requirements
Boston Medical Center
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