Revenue/Procurement Specialist

Location Address:

Compensation Pay Range:

Summary:

Responsibilities:

Revenue specialist is the primary responsibility which consists of coordinating all financial aspects of a patient s PINC experience related to billing, charge posting and unit revenue reconciliation. Provide knowledgeable, responsive, and timely resolution to departmental billing, charge posting discrepancies. Responsible for entering patient charges, reviewing and reconciling daily posting transaction reports to ensure completeness and accuracy of all charge entries for PINC patients. Responsible for monitoring changes to the individual charge masters within his/her respective business unit. Communicates with finance to ensure that chargemaster is up to date. Ensure that all charges are entered accurately and conform to compliance issues set by finance regulatory agencies

Some key responsibilities include:

• Responsible for reviewing, updating and posting charges .
• Responsible for communicating with finance to ensure that all charge entry and posting is in compliance with regulatory agencies, i.e., CMS, FDA, etc.
• Listen, analyze, answer, resolve and coordinate charge master / billing inquiries and issues for any or all network service areas to ensure accurate and timely billing functions and to reconcile billing discrepancies.
• Document via information systems the response and resolutions to charge master inquires and issues to ensure high quality and standardized responses, as well as tracking and reporting capabilities.
• Access on-line information technology and hard copy documentation to assist in answering and resolving charge master inquiries and issues.
• Maintains and fosters effective communications/relation with managers, supervisors, unit secretaries, admin assistants, and finance.
• Reviews billing/charge master transaction summaries daily and ensures accuracy and completeness of all data entered.
• Reconciles daily billing activity to ensure all charges are entered correctly.
• Responsible for the confidentiality of all patient information being documented.
• Establish and maintain relationships with finance.
• .Render assistance to PHS system personnel in researching questions and inquiries, and stats checks,
• Schedule Donor Service patients, prior to surgery and for blood donations. Maintain the scheduling program.
• Check in Donor Service patients.
• Maintain various department statistics

Qualifications:

• High School diploma and one to three years experience in a healthcare reimbursement/business office environment to include data entry, clerical and financial functions, and billing and account reconciliation.
• Knowledge of CPT, ICD-9 and HCPCS coding.
• Ability to work under pressure of rigid cycles and production schedules.
• Knowledge of medical terminology and MS office and Medipac preferred.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.