Hospital Level 2 Biller

4 weeks ago

Dallas, United States United Surgical Partners Full time

Reporting to the Billing Supervisor, Level 2 Billers are responsible for the daily entry of charges for their assigned surgical centers. This will include but is not limited to the following: assign modifiers, diagnosis codes, and revenue codes according to reimbursement guidelines resulting in claim reimbursement.

Role and Responsibilities

  • Act as a resource for all critical aspects of the CBO which includes liaising between departments as well as assisting Level 1 Billers.
  • Execute the recurring billing workflow and generate and transmit to designated electronic claims clearinghouse daily.
  • Work DNFB, Hold Timeline Report and Late charges for assigned facilities.
  • Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.
  • Edit Failures, Coding Updates, answer facility emails as well as CSO departmental emails, and billing as needed.
  • Ensure timely follow-up and resolution of internal and external inquiries of billing issues (i.e., operative notes, invoices, or implant pricing, etc.)
  • Reconcile revenue and billing during the month end close process.
  • Maintain current knowledge of health care billing laws, rules, and regulations and developments.
  • Help with reports/special projects as needed and other duties as assigned in accordance with priority.

This is not an all-inclusive list. Additional tasks and responsibilities may be added by management based on business need.

Required Skills

  • One year’s previous experience or some hospital clerical experience or medical terminology preferred.
  • Must demonstrate a positive demeanor, good verbal, and written communication skills, and be professional in both appearance and approach.
  • Must be able to handle potentially stressful situations and multi-task and handle competing priorities while meeting or exceeding deadlines.
  • Knowledge or experience working with a variety of health care insurance payers preferred.
  • Any of the following: Cerner, nThrive, Advantx, Waystar, Meditech, and/or EffecientC experience preferred.
  • Must have Intermediate computer proficiency in Microsoft Office including Excel and Outlook.
  • High school graduate or equivalent.

Preferred Skills

  • Understanding of Medical Terminology
  • Basic understanding of billing guidelines and laws

Required Experience

Qualifications:

  • One year’s previous experience or some hospital clerical experience or medical terminology preferred.
  • Must demonstrate a positive demeanor, good verbal, and written communication skills, and be professional in both appearance and approach.
  • Must be able to handle potentially stressful situations and multi-task and handle competing priorities while meeting or exceeding deadlines.
  • Knowledge or experience working with a variety of health care insurance payers preferred.
  • Any of the following: Cerner, nThrive, Advantx, Waystar, Meditech, and/or EffecientC experience preferred.
  • Must have Intermediate computer proficiency in Microsoft Office including Excel and Outlook.
  • High school graduate or equivalent.

Preferred Skills

  • Understanding of Medical Terminology
  • Basic understanding of billing guidelines and laws

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