Billing Coordinator

USPI•The Woodlands, TX

4d•Onsite

About The Position

USPI Memorial Hermann Surgery Center Pinecroft is seeking a motivated Billing Coordinator to join their team. The center has 6 OR rooms and 2 treatment rooms and performs outpatient surgical procedures in General, GI, ENT, Neurosurgery, Orthopedic, Pain, Plastic, Podiatry, Spine, and Urology. The position requires weekdays only, with no holidays, weekends, or call. Some early mornings and later evenings may be required, and the schedule is subject to change based on the surgical schedule and the flow of the day.

Requirements

Motivated
Knowledgeable about current coding conventions and applicable state and federal laws as they pertain to billing, coding and consents.
Ability to work as a team member.
Flexible, reliable, productive, patient-oriented and self-motivated.

Responsibilities

Identifies procedures and principal diagnosis performed on each patient and properly codes each procedure.
Prepares batch for dates of services, posts, balances and closes for the day.
Participates in USPI EDGE program.
In conjunction with the Medical Records Specialist is responsible for assembling medical chart upon completion, reviews each chart for completeness, and obtains missing signatures or documents in a timely manner.
Prepares charts for doctor's signatures, maintains medical record files, and is responsible for all aspects of its confidentiality.
Obtains and files all reports generated by outside vendors.
Submits charges on patient accounts to correct payer based on the verified insurance information. Performs re-bills to insurance payers and patients as needed and supplies additional information as requested.
Maintains and checks implant tracking log and charges for implants or supplies not included in procedure fee.
Updates and maintains master copy of all current forms used at the Center.
Updates charge master for new/deleted procedure or diagnosis codes.
Obtains surgeon signatures on Operative Reports and completes the Medical Record.
Maintains log of outstanding Operative Reports and prepares report for the MEC.
Assures that new physicians have transcription number and information. Resolves any problems with the transcription service.
Is knowledgeable about current coding conventions and applicable state and federal laws as they pertain to billing, coding and consents.
Backs up Accounts Receivable representative as needed.
Receives, screens, and routes incoming calls in a professional manner by the third ring.
Informs Business Office Manager of applicable day-to-day situations.
Follows employee health, safety, personnel, and staffing policies.
Successfully works as a team member.
Shall be flexible, reliable, productive, patient-oriented and self-motivated.
This individual will be the back materials manager.