Surgical Billing Specialist - Labor & Delivery

Surgical Billing Specialist

The surgical billing specialists provide a variety of analytical, clinical, coordination, and technical duties for Perioperative Services. The surgical billing specialists are responsible for accurately charging patients in Perioperative Services. Interdepartmental and intradepartmental communication skills are essential.

Responsibilities:

• Verifies schedule for charge reconciliation. Uses multiple tools to count cases and ensures lapsed case times match. Investigates any discrepancies.
• Verifies documentation and assigns correct level charge to each procedure using clinical knowledge and experience.
• Assigns each procedure a charge level based on equipment, personnel required, and supply usage.
• Uses guide and experience to ensure most appropriate level is charged.
• Reconciles charges using various reports, personal experience, and knowledge of cases.
• Communicates in a professional manner with staff, ANM's, vendors, finance, and Materials personnel to gain any additional information needed to charge a case.
• Produces and understands reports related to charge generation.
• Uses technical and analytical skills while researching in multiple systems (CPM, Compurecord, HealthSpan, Lawson, and any other required) for verification purposes.
• Maintains knowledge of technology (supplies, techniques, and procedures) to ensure appropriate charges are applied.
• Reviews and verifies vendor contracts.
• Verifies and consolidates contracts, receiving reports, and OR documentation.
• Ensures all items are approved by appropriate management personnel or in value analysis committee.
• Provides education to staff. Conducts in-service education for OR staff and as required for support personnel. Participates in orientation of new clinical staff.
• Performs other related responsibilities as requested or required.
• Performs in accordance with accepted procedure and responds to special requests by management in a timely manner.
• Some other responsibilities including answering phone, setting up files and typing.
• Demonstrates Service Excellence.
• Adheres to policies and procedures.
• Attends regularly scheduled staff meetings and in-service classes.
• Uses tact and courtesy in all interactions with management, staff, patients, families, and vendors.

Minimum Requirements:

• High School plus 2 years or more of formal training/education.
• Completion of approved Surgical Technology or Nursing program, applicable business training preferred.
• 3 to 5 years operating room clinical experience required, previous business office or billing experience preferred.
• May substitute 1 year of additional education (beyond approved 2 year RN or Surgical Technology) for 1 year of experience, up to 2 years.

Pay Range: $18.74 - $27.32/hr

Other Information:

• Onsite role (based out of Greenville, NC)
• Monday - Friday full-time day shift
• Great Benefits