Baptist Health Care

The role involves receiving and validating fee tickets from various practice locations. The representative is responsible for completing and submitting super bills for provider services.

The Authorization Specialist manages financial clearance for the Infusion Center by obtaining authorizations for infusion and radiation services. They coordinate pre-appointment requirements including scheduling, price estimation, and communication between patients and providers.

The representative validates patient demographics and insurance benefits with payers to ensure accurate EMR documentation. They also create cost estimates in compliance with state transparency and no-surprise billing regulations.

The Coder II reviews outpatient records to accurately assign appropriate ICD-10-CM or CPT-4 codes following established guidelines, maintaining a 97% accuracy rate and meeting productivity standards. This role also involves reviewing outpatient records according to outpatient rules and potentially handling ER Facility Charging, along with regularly following up on outstanding unbilled accounts.

The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests were performed.