Surgical Center Billing Coordinator
4 days ago
Position Overview:
United Surgical Partners is seeking a skilled Billing Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for the daily entry of charges for assigned surgical centers. This will include performing complete chart reviews, verifying patient demographics, assigning modifiers, diagnosis codes, and revenue codes in accordance with coding and reimbursement guidelines to ensure accurate claim reimbursement.
Responsibilities:
- Pull preoperative notes from designated transcription companies.
- 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 observation 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.
- Reconcile revenue and billing during the period-end close process.
- Complete accurate charge entry for all assigned cases and upload to designated electronic claims clearinghouses daily.
- Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.
- Maintain current knowledge of healthcare billing laws, rules, and regulations and developments.
Requirements:
- 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.
- Knowledge or experience working with a variety of healthcare insurance payers is preferred.
- Intermediate computer proficiency in Microsoft Office, including Excel and Outlook.
- Advantx, Vision, HST, Waystar experience preferred.
- High School Diploma or equivalent.
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