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Job Description

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: Eye Center

**Work Type:** Full Time (Total FTE between 0.9 and 1.0)

**Shift:** Shift 1

**Work Schedule:** 8 Hr (7:30:00 AM - 4:00:00 PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

**Pay Range:** $27.47 - $43.27 per hour

Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:

This position requires an individual to be well-organized, conscientious, and well structured. The highest level of professionalism, customer service, and interpersonal communicational skills must be maintained while interacting with peers and patients. Must be able to demonstrate general knowledge of billing practices and maintain departmental standards relating to charge entry. In addition, this individual will play a pivotal contact role with other Rush Departments to ensure compliance with billing protocols. Individual must act in accordance with the Rush policies and procedures and exemplify the Rush mission, vision, and values.

Other information:

Required:

• Minimum of Five+ years' experience in medical billing setting along with experience with ICD-10, CPT coding and modifier usage.

• Typically requires a High School degree or GED equivalent plus a minimum of 5+ years of related specialized experience. An Associate's degree may be preferred or required for some positions.

• Intermediate knowledge of Microsoft Office Suite, Excel and PowerPoint

• Strong communication, organization, and problem-solving skills

• Ability to act independently as necessary in analyzing, reconciling, and updating billing and work as part of a team.

• Mid-Revenue Cycle Expertise: Demonstrates knowledge of facility coding, professional coding, and workflows necessary to scope of work.

• Comprehensive knowledge of general coding and compliance standards.

• Experience working with all types of insurance - Commercial, Medicare, Medicaid etc

• Knowledge of Epic required; other EHR systems bonus

• Intermediate knowledge of Microsoft Office Suite, Excel and PowerPoint

• Strong communication, organization, and problem-solving skills

• Ability to act independently as necessary in analyzing, reconciling, and updating billing and work as part of a team.

Preferred:

• Experience using billing software (e.g., EPIC) and clearing houses (e.g., Optum, Availity)

• Bilingual is a plus

Responsibilities:

Maintain a working knowledge of Epic and hospital system billing software as it pertains to patient demographics, charge entry, insurance carrier information, and doctor information.

•Check for the completeness (ICD10, CPT, and referring physician) of all encounter forms before charge capture.

•Manages account balances including but not limited to preparing and mailing monthly statements, processing refund requests, reviewing outstanding balances for collection activities

•Work together with physicians, technicians, and staff to follow up on all missing elements from the encounter notes in EPIC.

• Handles patient inquiries and complaints as it relates to the revenue cycle process

•Reconcile OP and IP professional charges and OP facility charges in a timely manner (4-day window) from all assigned Epic WQs and hospital system.

•Manages retina drug, ordering, audits, co-pay assistance programs, prior authorizations including reporting

•Enter referral and authorization #s for appropriate charges.

•Reconcile daily clinic outpatient charges and inpatient charges to ensure all physician clinical activities are billed out appropriately.

•Correct any claim errors relating to coding for charges that are pending in the Epic Charge Work Que.

•Oversees weekly Epic denial grids.

•Educate and counsel physicians on appropriate billing practices to maximize revenues in accordance with current medical center compliance program.

•Attend appropriate training sessions and continuing education classes on current coding practices to stay up to date on physician billing practices.

•Coordinate and approve accounts prior to outsourcing to collection agency.

•Oversees the hospital charge posting function.

•Prepare invoices for facility fees for designated private offices.

•Maintain required billing records, reports, and files.

•Maintain strict confidentiality.

•Completes special projects as assigned by Practice Manager

•Supervises a service financial rep and a 3rd party team of billing specialists, providing guidance and support to ensure the accuracy and efficiency of billing processes.

•Review and analyze billing data and reports to identify any discrepancies or errors, taking appropriate actions to resolve them.

•Develop and implement billing strategies and best practices to optimize efficiency and improve the accuracy of billing processes.

•Address and resolve patient inquiries and disputes regarding billing issues, providing excellent customer service, and maintaining positive relationships.

•Stay informed about medical industry trends and changes in billing regulations, ensuring that the company remains compliant and up to date with best practices.

•Train and mentor service financial representative, clinical coordinators and residents, providing ongoing support and professional development opportunities to enhance their skills and knowledge

•Support audits by providing billing records, documentation, and process explanations as needed

•Contribute to goal setting and performance evaluations for billing team members

•Execute the month-end close.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

**Position** Supervisor FSR Billing - Eye Center

**Location** US:IL:Chicago

**Req ID** 22307