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Company

United Surgical Partners International, Inc · 5 hours ago

Billing Specialist

United States

Full-time

Remote

Entry Level

2+ years exp

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Responsibilities

Pull any preoperative notes from the designated transcription company.

Extract information from medical records, operative notes, invoices, progress notes and discharge paperwork to ensure completeness and accuracy of charge entry.

Capture implants, high-cost supplies, high-cost drugs, post op pain blocks and observations times prior to charge submission

Review accuracy of invoice details, including customer billing instructions, pricing, discounts, state sales tax, etc.

Execute the recurring billing workflow and generate and transmit claims daily.

Ensure timely follow-up and resolution of internal and external inquiries of billing issues (i.e., operative notes, POPM form, invoices, or implant pricing etc).

Reconcile revenue and billing during the period-end close process.

Complete accurate charge entry for all assigned cases and upload to designated electronic claims clearinghouse daily.

Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.

Maintain current knowledge of health care billing laws, rules and regulations and developments.

Qualification

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ASC revenue cycle experienceOrthopedic charge entry experienceInsurance explanations interpretationHealth care insurance knowledgeMicrosoft Office proficiencyMulti-tasking abilityAdvantx experienceVision experienceHST experienceWaystar experience

Required

2+ years of ASC revenue cycle or orthopedic charge entry or collections experience

Ability to read and interpret insurance explanations of benefits and managed care contracts

Must communicate effectively, both verbally and in writing, with internal and external clients

Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines

Intermediate computer proficiency in Microsoft Office including Excel and Outlook

High School Diploma or equivalent

Preferred

Knowledge or experience working with a variety of health care insurance payers is preferred

Advantx, Vision, HST, Waystar experience preferred

Company

United Surgical Partners International, Inc

Glassdoor

3.2

United Surgical Partners International (USPI), a subsidiary of Tenet Healthcare Corporation (NYSE: THC), operates the largest ambulatory platform in the country.

Founded in 1998

Addison, Texas, USA

10,001+ employees