Saturday, June 25, 2022

Medical Billing Specialist (Pathology)


The Medical Billing Specialist functions as the department professional in concerns to all billing that is processed for the department of

Pathology and Laboratory Medicine. Responsibilities consist of: guaranteeing charge entry and coding is proper, sending charges through billing

system daily, sending charges by means of 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 required info for correct charge entry and billing; fixes up information that crosses the user interface in billing

batches, CPT Codes or fixes missing/incorrect components to send electronic billing.

2. Put together 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 make sure that all services are effectively recorded within the report. Obtains addendum

reports from pathologists for any impressive charges not recorded.

4. Right 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 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 properly and recorded to show all charges sent.

12. Evaluation and make sure 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 scientific 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 relevance within Pathology.18 Guarantee just technical charges are billed for Skin biopsy– if required register clients in EPIC for billing.20 Response billing questions from doctors and personnel. Keep cooperative working relationships with all consumers (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 support and client care might be supplied.22 Uses health center’s behavioral requirements as the basis for choice making and to assist in the department and the medical facility’s objectives and objective.23 Follows developed healthcare facility 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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http://medicalbillingcertificationprograms.org/medical-billing-specialist-pathology-7/

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