Billing Specialist

Responsible for the timely processing of all patient charges assuring maximum revenue capture; reconciliation of all patient charges & coordinating with Patient Financial Services to expedite resolutions to facilitate claims reimbursement. In addition plays an important role in patient satisfaction for 25,000 cases annually since the impact is directly on the patient’s bill. The position Requires a broad range of knowledge in medical terminology.

1. Responsible for timely, accurate billing of all appropriate patient charges through adherence to the Patient Billing Process

2. Responsible for reconciliation of all billed charges; detection of errors and timely & accurate correction of all errors through adherence to the Patient Billing Process

3. Responsible for recording all supportive documentation for adjustments & corrections including, but not limited to, procedures, service packs, sutures, implants & materials on a daily per patient basis as part of the Patient Billing Process

4. Responsible for Nursing Intraop Record correction relative to selected procedure code for room rate billing and conversion of implants & specialty supplies added through the materials on the fly process to facilitate appropriate charge generation.

5. Responsible for maintaining pertinent documentation to meet FDA regulations with regard to traceable implants; 3rd party provided non‐billable implants

6. Responsible for the safe‐keeping of all patient–related documentation in accordance with HIPPA

7. Responsible for reporting Interfaces issues

8. Responsible for teaching the Patient Billing Process to new personnel

9. Responsible for maintaining the Resource Book with current reference information and by documenting step by step instructions for responsibilities and tasks.

10. Provides coverage for co‐workers during absences

Required Education and Experience

*High School Diploma/GED
*Two (2) years related experience

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.