Hospital Billing Specialist, Level II

United Surgical Partners International•Addison, TX

13d

About The Position

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.

Requirements

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
Understanding of Medical Terminology
Basic understanding of billing guidelines and laws

Nice To Haves

One year's previous experience or some hospital clerical experience or medical terminology preferred.
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.

Responsibilities

Daily entry of charges for assigned surgical centers
Assign modifiers, diagnosis codes, and revenue codes according to reimbursement guidelines
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