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Hospital Billing Specialist
Hospital Billing SpecialistUnited Surgical Partners International Inc (USPI) • Dallas, TX, US
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Hospital Billing Specialist

Hospital Billing Specialist

United Surgical Partners International Inc (USPI) • Dallas, TX, US
30+ days ago
Job type
  • Full-time
Job description

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.


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


Required Experience
  • 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.
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Hospital Billing Specialist • Dallas, TX, US

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