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: 1.Education/Training/Licensure:Bachelors degree in Health Administration or Business or equivalent work experience. 2.Work Experience (Years and Area):7+ years office analyst, patient accounting, charge capture, Charge Master Maintenance or other revenue cycle functions. Understanding of pricing methodology, CDM or HCPCS. 3.Management Experience:Not required 4.Equipment Operated:MS Excel, Basic skills on Word and Outlook, PC
SPECIAL REQUIREMENTS: 1.Communication Skills: Above Average Verbal (Heavy Public Contact) Bilingual Skills Required: No Writing /Composing (Correspondence/ Reports )
2. Other Skills: Analytical, Mathematics, P.C., Research, Statistical, Typing 1 4500 KS, Word Proc.
3. Work Schedule: Flexible
4. Other Requirements:Able to work efficiently with little supervision, handle stressful situations. Must be able to interact successfully in a culturally diverse environment.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.