Pathology and Laboratory Medicine. Responsibilities consist of: guaranteeing 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 required details for appropriate 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, validate
3. Evaluations expert billing report to guarantee that all services are appropriately recorded within the report. Obtains addendum
reports from pathologists for any exceptional charges not recorded.
4. Appropriate name modifications, sex, and DOB’s on all mismatched accessions and include account info in CoPath for Pathology and
Cytology laboratory specimens. After correction of acct/name modifications and so on– Resend accessions to EPIC.
5. Guarantee 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 precisely and recorded to show all charges sent.
12. Evaluation and make sure 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 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 cost 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. Keep cooperative working relationships with all consumers (consisting of clients and outdoors contacts) and react to ask for info in a timely and considerate way.21 Complies with medical facility requirements of efficiency and conduct, consisting of those relating to client rights, so that the very best possible customer care and client care might be offered.22 Makes use of health center’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 medical 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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