Welcome to Allscripts! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Allscripts is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information.
The primary purpose of this role is processing billing information within the appropriate software efficiently and accurately on a consistent basis to maximizing accounts receivable collections for clients. The position is additionally responsible for the coordination and oversight of data received by outside vendors, such as the India outsource. The position supports the company’s overall Operations and Client Services by efficiently and effectively providing and reviewing account data needed for the Revenue Cycle process and delivering results.
Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally
Prepares charges for off shore operations and answers and resolves questions.
Complete chargers and/or resolve charge and payment inquires for off-shore vendors.
Prepares, assigns and reconciles batches; provides ongoing communication and reviews discrepancy process.
Reviews source codes; tallies Hash totals.
Maps ICD nine, CPT and modifiers as needed.
Creates claim edit report for charge entries.
Reconciles imputed payment postings and balances batch report.
Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any hand written DX, procedure, etc., return any charges to the Doctors office that require clarification
Complete batch once IHS enters by validating, verifying, clarifying/correcting any questions they may have had and closing the batch.
Import or enter Charges and post payments for Clients not placed with IHS.
Work claim rejections for clients not with IHS and oversee the claim rejections worked by IHS for the clients placed with them making any corrections or taking any actions needed.
Spot audit charge and payment batches completed by IHS to ensure all information is being entered accurately.
Complies and enforces all policies and procedures related to the position, the department and the company
Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements
Other duties as assigned
Academic and professional qualifications:
High School Diploma or GED
0-2 years of experience in same/related field
Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with various billing systems, such as NextGen, Pro and Allscripts.
Personal: Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure environment.
Communication: Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations.
Math & Reasoning:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to use critical thinking skills to apply principles of logic and analytical thinking to practical problems.
Physical and Environmental Elements:
This is primarily a sedentary office classification and employees work in an office with moderate noise levels, controlled temperature conditions and no direct exposure to hazardous physical substances. Clear speaking voice is necessary, as well as finger dexterity to access, enter and retrieve data using a computer keyboard, typewriter keyboard or calculator, and to operate standard office equipment. The position occasionally bends, stoops, reaches, pushes and pulls drawers to retrieve and file information and lifts and carries reports and records that typically weigh less than 20 pounds.
At Allscripts, our greatest strength comes from bringing together talented people with diverse perspectives to support the technology needs of 180,000 physicians, 1,500 hospitals and 10,000 post-acute organizations across the globe. Allscripts offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
Allscripts policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Allscripts must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire.
From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans