Job Summary : The Billing Specialist is responsible for overseeing the entire billing process for patient accounts, from submitting all billings to insurance in a timely manner, to working with our coding specialist to ensure that all cases are coded correctly, leading monthly coding audits, and taking the lead role in driving insurance collections.

Essential Job Duties and Responsibilities include the following:

• Electronically submit patient procedure bills to third party payers
• Perform timely and accurate postings of payments received from third party payers and/or patients
• Perform timely and accurate processing of all rejected and denied claims submitted to third party payers
• Contact insurance companies to collect outstanding payments
• Monitor and collection of AR aging
• Knowledge of how to interpret a managed care contract, Medicare and Medicaid, and Workers Compensation claims is a must
• Identification of accounts that have been either under or over paid
• Issuing credit balance information either to the insurance carrier or the patient
• Excellent communication and negotiation skills
• Ability to work independently and interdependently with other business office staff
• A team player
• A professional demeanor and appearance
• Works well in stressful environment and in situations that demand patience

Required Skills

• High School Diploma or equivalency
• At least 3 years of experience in medical billings, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc.
• Extensive knowledge of billing, collections and reimbursement of claims processing
• Fluent in medical terminology and CPT codes
• Ability to work independently
• Organization, time management and task prioritization abilities
• Excellent verbal & written communication skills, and interpersonal skills
• Excellent customer service skills, always demonstrating professionalism
• Comfortable utilizing critical thinking skills
• Proficient with Microsoft Office products
• Understanding of healthcare specific policies, such as HIPAA regulations

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

#LI-CT1

Required Experience

• High School Diploma or equivalency
• At least 3 years of experience in medical billings, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc.
• Extensive knowledge of billing, collections and reimbursement of claims processing
• Fluent in medical terminology and CPT codes
• Ability to work independently
• Organization, time management and task prioritization abilities
• Excellent verbal & written communication skills, and interpersonal skills
• Excellent customer service skills, always demonstrating professionalism
• Comfortable utilizing critical thinking skills
• Proficient with Microsoft Office products
• Understanding of healthcare specific policies, such as HIPAA regulations

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

#LI-CT1