Pathology and Laboratory Medicine. Tasks consist of: guaranteeing charge entry and coding is appropriate, sending charges by means of billing
system daily, sending charges through mail weekly and registration for customer service. The Medical Billing Specialist deals with unclear
products and helps in the healing of rejections relative to client accounts and takes part in supporting the Revenue Cycle.
1. Gathers all needed info for correct charge entry and billing; fixes up information that crosses the user interface in billing
batches, CPT Codes or remedies missing/incorrect components to send electronic billing.
2. Assemble billing Chutes everyday (M-F)– Hospital Billing (HB), Professional Billing (PB), Prof and No Charge (NC). Repair any mistakes
in chutes prior to sending out to EPIC, validate
3. Evaluations expert billing report to guarantee that all services are effectively 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. Make sure details is total and signed by Pathologist. Acquire 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 properly and recorded to show all charges sent.
12. Evaluation and guarantee all charges are caught 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 questions on scientific medical diagnosis, dates of service, and so on
15. Handle numerous EPIC work-queues (WQs) for claim edits, insufficient details, and rejections.
16. Work Interface mistakes within EPIC
17. Preserve Billing Fee Code dictionary in CoPath, include CPT’s for brand-new tests and established cost schedule in CoPath.
18. Handle annual CPT code additions/changes/update for significance within Pathology.18 Make sure just technical charges are billed for Skin biopsy– if required register clients in EPIC for billing.20 Response billing questions from doctors and personnel. Preserve cooperative working relationships with all clients (consisting of clients and outdoors contacts) and react to ask for details in a timely and considerate way.21 Complies with medical facility requirements of efficiency and conduct, consisting of those referring to client rights, so that the very best possible customer care and client care might be supplied.22 Uses medical facility’s behavioral requirements as the basis for choice making and to help with the department and the health center’s objectives and objective.23 Follows developed healthcare facility infection control and security treatments.24 Carries out other responsibilities as needed Adheres to all of BMC’s RESPECT behavioral requirements
Boston Medical Center
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