Somnia is actively seeking an experienced Billing Specialist to work both onsite and remotely. The Billing Specialist will partner with Somnia’s Hospital Practice Administrators as well as Somnia corporate office staff. Strong interpersonal, organizational and time management skills are a must.

DEPARTMENT STANDARD: PERFORM DEPARTMENT DUTIES IN A TIMELY AND EFFICIENT MANNER

• RCM
  • Follow standard chart batching and scanning process according to Somnia’s billing partner’s policies and procedures
    • Work with hospital, Somnia and billing company to scan directly to pertinent imaging system
    • Submit 100% of charts within 3 business days
  • Complete or appropriately train Practice Administrators to thoroughly scrub charts for all the pertinent pieces of information including but not limited to:
    • DOS
    • Provider(s) names / signatures
    • Start / End times
    • Accurate and complete procedure / specificity
    • Diagnosis / specificity / ICD-10 compliant
    • SCIP measures (temp, beta blocker, sterile technique, etc even if just for internal audit)
    • Documentation of who completed any ancillary services (ie blocks, lines, etc)
    • Service Location (Hospital, ASC)
      • Sub-Location (ie: OR1, OB, Endo, etc)
      • Ensure VP of Patient Revenue has complete lists of service locations and sub locations
    • Legibility
  • Maintain 100% accurate case log
    • Information entered in the Admin Database within 3 business days of DOS and updated daily
      • Reconciliation within 1 week of email notice when discrepancies with billing case log when identified
    • Review billing IR log daily. Keep IR list to less than 7% of monthly case volume.
      • Address pending items within 48 business hours.
    • Insurance Conversions
      • Work with billing partner and VP of Patient Revenue to determine a site-specific process for following up on self-pay accounts.
    • Billing coding /compliance
      • Establish and maintain quarterly audit review meeting with billing partner and VP of Patient Revenue and Corporate Compliance Office
    • Sign into SIMS daily
      • Participate in the development of content when requested
      • Monitor and follow up with clinicians to ensure they complete their assigned training
      • Track anesthesia cases for acute pain cases, cosmetic cases, endo cases and any other specialized categories in Somnia database;
    • Ensure OB epidural tracking times are reported and either captured locally or sent to billing partner
    • Respond timely to requests for information / data collection for creation of quarterly, annual, and ad-hoc client reports
  • Interact with hospital staff as necessary to obtain additional information and to foster positive communication to enhance the access to quality and accurate information on patient accounts and billing
  • Other special projects as may be assigned