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Anesthesia QA Biller
Ref No.: 18-14135
Location: Emeryville, California
Under the direction of the Revenue Manager, the biller will work independently to resolve billing related issues in APeX (Epic), File Maker and other supporting systems in order to maximize Anesthesia charge capture (time based). He/she must have basic understanding of healthcare terminology, processes and work flow and healthcare billing in order to make good decisions and resolve account issues. The incumbent should also have outstanding people skills, including telephone technique, professional appearance, organizational skills, and communication skills (oral and written).

This position will be responsible for performing detailed review of medical record documentation to answer billing level questions and will be responsible for working Anesthesia Charge Entry on a daily basis to assist with processing charges, querying providers and reducing charge lag. He/she must have the ability to prioritize multiple tasks and work well with all levels of staff including faculty, management and coworkers both within and outside of the unit. This position requires attendance and completion of UCSF on-line and in class courses including but not limited to PB APeX, Basic Insurance Concepts, Collecting Patient Information, and PB Account Maintenance, PB Registration Billing and PB charge entry / Router Review training.

%
of time
Essential Function (Yes/No)
Key Responsibilities
(To be completed by Supervisor)
70% Areas Of Emphasis
1. Manages Anesthesia Charge Entry in APeX on a daily basis, by working deficiencies in the Charge Entry
2. Manages FileMaker Records, including updating anesthesia start and stop time, on a daily basis by working deficiencies in the patient and anesthesia records.
3. Works and communicates effectively with coworkers and external coders to resolve any billing/charge capture related issues
4. Communicates with providers to rectify deficiencies in documentation
5. Able to identify and provide feedback on outstanding issues
6. Demonstrates competency in the APEX system.
  1. Maintains confidentiality of all patient information

6. Performs other duties/projects as assigned

15% ADHERES TO POLICIES AND PROCEDURES

1. Follows established safety, attendance and tardiness policies established by department
2. Provides excellent customer service to patients, co-workers, physicians and other departments
3. Assures work environment is clean and is a role model by maintaining a professional, neat appearance, adhering to the department dress code policy and displaying hospital identification badge
4. Utilizes hospital/department computers for hospital business only.


10% Professional Development/ Performance Improvement
1. Assumes responsibility and accountability for own professional growth and practice. Attends assigned staff development activities
2. Participates in cross training activities when necessary
3. Recognizes and performs duties which need to be performed
4. Participates in related performance improvement projects for the department and hospital.
5. Attends required hospital training and in services.
5% LEADERSHIP/SUPERVISION
  1. Demonstrates the ability to work with minimal supervision