Surgical Billing Specialist

Position Summary

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.
• Provide education to staff. Conduct in-service education for OR staff and as required for support personnel. Participate 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

• Remote role (based out of Greenville, NC)
• Monday - Friday day shift:
  • 8:00 a.m. - 5:00 p.m. 
• Geat Benefits

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ECU Health

About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children¿s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant¿s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.