Coder full time

1 week ago

Annapolis, United States United Surgical Partners International Full time

This position will work closely with the Revenue Cycle Manager and will be responsible for all aspects of the Revenue Cycle, including but not limited to: insurance verifications, billing, insurance and patient collections, coding, cash payment posting, and patient services.

Essential Duties & Responsibilities

* Research and resolve patient issues, respond to inquiries by center staff regarding patient account issues, and assist with weekly patient statements.
* Conduct insurance verification and validation on all ASC scheduled patients to ensure eligibility and benefits are in order for accurate claim submission and payment.
* Communicate with patients in advance of their procedure regarding the patient's financial responsibility (co-pay) due at the time of the procedure.
* Work with management in identifying, researching, and resolving issues which may lead to inaccurate or untimely filing of claims, claim rejections, and/or other billing and collections issues which may arise.
* Meet and/or exceed the daily production goals as defined by the Revenue Cycle Manager.
* Assist management team in providing training, assistance, and/or guidance to other staff members in issues of accounts resolution through billing, collections, and/or denial processing techniques.
* Compile and submit claims to insurance companies based on data provided by the medical coders.
* Review first initial claim scrub and billing to the clearinghouse utilizing billing and practice management software.
* Validate claims and make necessary corrections to send out clean claims to the payers electronically and/or via paper.
* Employ effective and efficient billing techniques, and self-directed initiative, to resolve all types of billing edits.
* Resolve disputed balances in our billing and practice management software.
* Process credit card transactions.
* Post all payments and adjustments to the specified patient account in accordance with current policy and procedure.
* Ensure accuracy of posting by balancing deposit totals to system generated report.
* Properly close all assigned batches in a timely manner.
* Maintain daily posting logs and reconciliation.
* Work with management and other revenue cycle staff to improve processes to increase accuracy and efficiency.
* Read, understand and adhere to company Associate Handbook.
* Handle incoming calls on a daily basis, exhibiting excellent customer services skills.
* Research and resolve account issues utilizing management and tools provided. Escalate issues as appropriate.
* Research and respond to inquiries by Center Staff regarding patient account issues.
* Review and audit revenue functions in current operating system and report issues as appropriate.
* Respond to emails in a timely manner and work reports daily.
* This position requires that the employee present an example of appropriate work habits, behavior, and positive attitude toward co-workers and administration.
* Regular and reliable attendance.
* Exhibit continual adherence to policies and regulations regarding HIPAA and Electronic Patient Health Information (EPHI).
* Deal effectively with a diversity of individuals at all organizational levels.
* Other duties as assigned by Management.

Pay range: Min $24 - Max $27

Benefits

USPI offers the following benefits, subject to employment status:

* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave)
* 401k retirement plan
* Paid holidays
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance Program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance.

Required Skills:

* High School Diploma or equivalent.
* 2 years of experience in a medical office or healthcare business office.
* Medical Billing certification preferred.
* Experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.
* Experience with Anesthesia, Ambulatory Surgery and Lab billing preferred.
* Experience with CPT, ICD-10, and NCCI coding.

#LI-LL1

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