General Function: Provides a supportive link regarding billing issues between University Hospital entities and all other areas of the company. Reconciles ARUP patient charges to the University of Utah Hospital and Clinics. Provides communication, problem resolution, and support regarding billing issues between UHC Patient Accounting and ITS departments, patients, physicians, hospital staff, and ARUP departments. Responsible for daily resolution of ARUP charge exceptions to University Hospital. Responsible for processing patient charges in the University Hospital billing system for those accounts where electronic charge processing is not possible. This position will also provide information and assistance regarding University Hospital billing issues, referral testing as needed. Should project a professional image through telephone communication to clients and contacts.
Reporting Function: This person reports to the Vice President, Administrative Director UUHSC Services.
Essential Functions: The essential job duties of this position are: 1. Reconciles ARUP patient charges to the University of Utah Hospital and Clinics. 2. Receives and reviews daily charge exception reports from University Hospital. 3. Resolves each exception which may include, but is not limited to the following: - Issue new patient visits in the hospital billing system. - Order, cancel and credits tests as needed with appropriate supervisory approval. Issues credits and move charges to appropriate patient accounts. - Clarifies orders with physicians and/or hospital staff. - Combines accounts as required. - Obtain patient information, including diagnosis or ICD-9 codes to enter appropriate billing information in the hospital billing system. - Provide difficult problem resolution. 4.. Initiates/receives telephone calls to/from University Hospital patient accounting, providers, patient care units, ARUP departments, and/or referral laboratories. Resolution of issues may include: - Research of individual patient accounts, including review of requisitions, orders, billing information. Adding and/or deleting test requests. - Provide billing, pricing, and CPT code information. Request hospital procedure codes for all ARUP tests.. - Assist other departments with requests for charge and billing problems as they occur. - Patient account problem resolution as related to laboratory charges. 4. Must be familiar with ARUP and University Hospital information systems; admission, discharge and transfer processes, hospital patient care units and providers, and how to track all ordered tests. Must be familiar with ARUP test requesting, labeling, specimen/document storage and retrieval, client accounting, laboratory sections, and referral testing. 5. Must be familiar with specimen processing procedures, appropriate protocols for ordering, crediting, canceling tests, and combining in ARUP IT systems, as well as with charge viewer functions. 6. Provides statistical reports for utilization review, billing summaries, price files, and others as requested. 7. Must be flexible and willing to adapt to changes in section structure. 8. Documents telephone call problems that arise and appropriate follow-up. 9. Attends staff meetings and in-services to assure job competency and communication within ARUP.10. Other duties as assigned. Requirements Job Qualifications Education/Credentials required: - High School Diploma or equivalent Education/Credentials preferred: - Two years of college coursework in a healthcare related field and three years related experience. Experience/skills required: - Ability to type at least 45 wpm - Advanced skills/knowledge of Microsoft Office Suite - Two years' related experience (billing, customer service, exception handling, specimen processing) Experience/skills preferred: - Experience using ARUP and/or University Hospital Information Systems - At least five years' related experience (billing, customer service, exception handling, specimen processing) - Knowledge of CPT and ICD-9 code requirements Physical and other requirements: Successful completion credit check Regular and reliable attendance. Excellent customer service skills. Ability to work well with others. Ability to work independently. Ability to prioritize tasks. Ability to work required overtime as needed. Must be able to sit and/or stand for extensive periods of time Excellent ability to communicate effectively in English both written and verbal. Fine motor coordination. Good visual acuity. Mobility. Ability to handle multiple projects at the same time Ability to organize work, to meet deadlines and to work under stressful conditions.
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