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United Surgical Partners International, Inc · 19 hours ago

Billing Assistant

Sioux Falls, SD

Full-time

Onsite

Entry Level

1+ years exp

United Surgical Partners International, Inc is seeking a Billing Assistant to support their billing and collections department. The primary responsibility of this role is to ensure timely mailing of clean claims with appropriate documentation to the responsible payors.

Health CareWellness

Responsibilities

Responsible for mailing paper claims for 30-35 Centers with an average monthly volume of 10K-15k

Review Clearinghouse EDI Payer ID's and EMR system to see if claim can be sent electronically vs paper

Print all paper claims from Vision/AdvantX, review claims for accuracy including modifiers, payers, claims addresses, and additional pertinent information included

Ensure overall claim alignment and claim formatting, per payer guidelines

Gather all supporting documentation such as operative notes, block reports, implant logs, etc. which MUST be attached with mailed claims

Scan and upload claims & supporting documentation to the daily work folder and/or claims management system

Notate in the EMR system with date claim was sent, mailing address, and supporting documentation mailed with claim

Manage claim queues to ensure that cases are assigned to the correct team member for processing

Collaborate as a team to mail overpayment letters and review returned mail twice a week

Monitor communication and automation between various systems to ensure documents are getting to the coding team in a timely manner

Coordinate with the billing team to update corrections that need to be addressed in greater detail are completed

Complete additional duties as assigned

Qualification

Medical billing experienceCPT & ICD-10Billing softwareAttention to detailPayersEOBsWork independently

Required

1-2 years' experience in medical billing and/or accounts receivables preferably in an ASC setting

Knowledge of CPT & ICD-10

Strong attention to detail

Ability to complete independent assignments with minimal supervision

Basic knowledge of payers, EOB's and claims processing

Basic knowledge of billing software, vendors, and clearinghouses

High School Diploma or equivalent

Company

United Surgical Partners International, Inc

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United Surgical Partners International (USPI) is the largest ambulatory surgery platform in the country and operates ambulatory surgery centers and surgical hospitals.

Founded in 1998

Addison, Texas, USA

10001+ employees