Billing Assistant

USPI•Sioux Falls, SD

About The Position

The Billing Assistant provides support to the billing & collections department in an effort to expedite case management. The billing assistant’s primary responsibility is to mail clean claims in a timely manner with the appropriate documentation to the payor responsible.

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.