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The Surgical Billing Analyst with Administrative Support is responsible for providing quality service to patients by efficiently using all departmental resources available to ensure the profitability of the department while providing high-level organizational support for the administrative requirements of Chesapeake Regional Medical Center’s Perioperative Services department, with minimal supervision. . To meet these goals, the Surgical Billing Analyst with Administrative Support responsibilities, as with all other team members, is expected to contribute to the success of the entire team, placing the needs of the patient and the team above the needs of the individual. In all cases, each team member shall make decisions and perform services that are in the best interest of the patient.

Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.

Billing

+ Prepare and verify prior day’s assigned department charges for processing

+ Perform billing tasks for assigned department

+ Identify and communicate potential charging opportunities

+ Audit supplies and reconcile patient charges

+ Adjust inappropriate charges as needed

+ Verify catalog and serial numbers on all implants

+ Perform daily reconciliations of all charge interface reports

+ Coordinate the process of new, changed, and/or inactive charges

+ Provide ongoing charging education for the OR team, utilizing the current IT operating system application for the OR, Materials Management, and Patient Billing

+ Actively engage in any software implementation program to meet the needs of the OR and the Perioperative departments as they directly affect the patient charge system

Miscellaneous

+ Demonstrate sufficient knowledge of surgical supplies and surgical procedures to be able to follow up on incomplete/inaccurate patient charge

+ Establish and maintain effective lines of communication between self, circulating nurses, staff, and the Nurse Auditor to resolve questions

+ Attend required hospital-wide orientations, meetings, and in-services

+ Demonstrate a commitment to flexible work scheduling when necessary to ensure deadlines are met

Ad m i n i s t r a t i v e R es p o n s i b i l i t i e s:

+ E ff e c t i v e l y c o mm u n i c a t e an d f a c i l i t a t e o r g a n i z a t i o n a l i n f o r m a t i o n a c r o s s a l l d e p a r t m en t s i n t h e f a c i l i t y an d o r g a n i z a t i o n , w h e n n ee d ed.

+ R e s p o n s i b l e f o r p e r f o r m i n g s p e c i a l p r o j e c t s t o i m p r o v e e ff i c i e n c y an d p e r f o r m a n c e , as a ss i gn e d.

+ P r e p a r e any n ee d e d c o rr e s p o nd e n c e t o g o v e r n i n g b od ies , committees, and practicing surgeons and their groups .

+ O r g a n i z e a n d m a i n t a i n department p o l i c y a n d p r o c ed u r e resources . E n s u r e a l l resources a r e s e c u r e d a n d a v a i l ab l e t o e m p l o y ee s .

+ Att e n d an d r e c o r d m i n u t e s f o r a l l m ee t i n g s .

+ D i r e c t c oo r d i n a t i o n o n b e h a l f o f Perioperative Services , CRMC departments , an d the surgeon c o m m u n i t y .

+ U pd a t e a n d c h a s e d e l e g a t e d t a s k s t o e n s u r e p r o g r e s s t o d ead li n e s .

+ A c t a s a l i a i s on , p r ob l e m s o l v e r, researcher, an d f a c i l i t a t o r a s a p o i n t o f c o n t a c t f o r t h e Director , w h e r e a pp r o p r i a t e.

+ D e p e nd a b i l i t y - F o l l o w s i n s t r u c t i o n s , r e s p on d s t o m a n a g e m e n t d i r e c t i o n ; t a k e s r e s p o n s i b i l i t y f o r o w n a c t i o n s ; k ee p s c o m m i t m e n t s ; c o m p l e t e s t a s k s o n t i m e o r n o t i f i e s a pp r o p r i a t e p e r s o n w i t h an a l t e r n a t e p l a n .

+ P e r f o r m s o t h e r r e l a t e d d u t i e s a s n e c e ss a r y .

+ A b i l i t y t o a n a l yz e , i n t e r p r e t a n d understand c h a r t s a n d g r ap h s o f d a t a.

Supervisory Responsibilities

Reports to: Nurse Manager Labor and Delivery/OBED

Supervises: None

Responsibilities: Not applicable

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required expertise in Excel and Word

Strong organizational skills and superior attention to detail

Proven ability to multi-task, work under pressure, and meet tight deadlines

Can work independently and be highly collaborative managing multiple tasks, projects, and able to prioritize.

Can support full scope of administrative functions and billing duties.

Highly developed written, verbal, and communication skills and is comfortable interacting with executive level management.

Education and Experience

Minimum Required Education: High school diploma required with knowledge/courses in surgical procedures, billing, and auditing .

Preferred Education: Associates or Bachelor ’ s degree preferred

Experience: Must have experience working in an OR and/or Surgical Billing department, in addition to having a typing speed of 60+ words per minute and excellent computer operation skills with competency in Microsoft Office programs including Word and Excel and competency or becomes competent in Epic.

2 – 4 years of professional support experience.

Certificates, Licenses, Registrations

There are no certifications/licensures required for this position.