Job Summary
Responsible for submitting IT requests related to charges that need to be added or updated in the Charge Description Master (CDM); and facilitating the identification of the most appropriate billing codes based on coding requirements and departmental information. Researches, prepares and tracks denials, and conducts spreadsheet analysis. Also, assists the Senior Manger of Denial Management and Manager of Insurance Verification with tracking outside requests, maintaining reports, and establishing relationships with payors and/or other Harris Health System departments to reduce denials. Supervises staff, schedules, and daily operations to ensure that these functions are carried out timely and accurately.
Minimum Qualifications
Degrees / Work Experience / School Education:
Bachelor's Degree Health Administration or Business or equivalent work experience. (And) Seven (7) Years Work Experience office analyst, patient accounting, charge capture, Charge Master Maintenance or other revenue cycle functions. Understanding of pricing methodology, CDM or HCPCS.
(Or)
High School Diploma (And) Eleven (11) Years Work Experience office analyst, patient accounting, charge capture, Charge Master Maintenance or other revenue cycle functions. Understanding of pricing methodology, CDM or HCPCS
Communication Skills:
Above Average Verbal (Heavy Public Contact)
Writing /Correspondence
Writing /Reports
Proficiencies: P.C.
Job Attributes
Knowledge/Skills/Abilities:
Analytical, Mathematics, Medical Terms, Statistical
Work Schedule: Full Time Telecommuter (eligible)
Equipment Operated:MS Excel, Basic skills on Word and Outlook, PC
