USACares Jobs

Job Information

MERCY HEALTH CORPORATION Lab Billing Systemwide Supervisor in JANESVILLE, Wisconsin

JOB REQUIREMENTS: Experience a rewarding and fulfilling career with Mercyhealth. Mercyhealth is committed to offering our partners a best place to work. Our unique workplace Culture of Excellence is built upon: Employee engagement, empowerment and growth Teamwork toward our common goal providing exceptional health care services with a passion for making lives better An atmosphere of caring and quality that cascades throughout the organization Department/Skill highlights Janesville, WI Essential duties and Responsibilities Directs and oversees laboratory billing functions for the system laboratories. Manages process for billing miscellaneous tests system wide. Adjusts the process as necessary. Completes the research and manual charge entry for billing of all miscellaneous tests for each system laboratory. Manages billing process for all significant exposures system wide. Monitors tests sent to reference labs and all tests not performed so that credits are made timely. Manages billing process for add on tests done by reference labs such as UW and DermPath and Mayo who perform Anatomic Pathology testing for Mercy. Reviews reference laboratory invoices to research and add appropriate charges to clinical and anatomic pathology laboratory tests. Reviews reference lab invoices for errors and follows through to get credits applied to Mercyhealth accounts. Reviews and updates CPT and HCPCS coding for all new and miscellaneous tests as updates occur for submission to the lab chargemaster, and as needed for error corrections. Proposes charges for new and updated tests to the chargemaster committee. Reviews annual CPT updates for implementation with IS and billing department as well as any interim updates that may occur during the year. Assures timely billing of laboratory claims that fall into a work queue by resolving the issue through addition of appropriate modifiers, transferring charges to the appropriate encounters, updating encounters with appropriate date of service and/or valid encounter numbers to clear all work queues assigned to the laboratory. Research denials and update claims through account maintenance. Following appropriate research, completes the add on and late charge/credit entries for pathology tests through manual charge entry utilizing the daily reference lab charge report for the system laboratories. Processes credits/cancellations of charges through LIS or through account maintenance when appropriate to do so such as when a test is not performed. Develops and revises charge/order entry processes to assure appropriate billing of all laboratory testing Insures compliance with regulatory and contract standards related to charging and reimbursement. Develops and updates procedures related to all billing functions. Educates appropriate... For full info follow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans. ***** APPLICATION INSTRUCTIONS: Apply Online: