USPI Medical Park Tower Surgery Center __ is seeking a motivated Business Office Rep to join our team. We have 5 OR rooms. We perform outpatient surgical procedures in General, Ophthalmology, Orthopedic, Urology. Position requires weekdays only -- no holidays, weekends, or call. Some early mornings and later evenings may be required; schedule subject to change based on surgical schedule and flow of the day.

Job Summary: Responsible for posting insurance and patient payments in PAS, adjusting account write offs as necessary per the explanation of benefits, forwarding appeals to the collectors, requesting refunds as needed, posting refunds in the PAS when processed, and entering approved account adjustments to accounts.

Job Duties: Include the following. Other duties may be assigned.

• * Posts insurance and patient payments into the PAS per our contract and the EOB.
  

  • Posse’s strong knowledge in centers Managed Care contracts to accurately calculate insurance allowable.
  • Puts comments in the account for explanation of any discrepancies in payment.
  • Notifies the collector(s) of any appeals.
  • Identifies any immediate refunds and requests them per our policy and procedures.
  • Applies all other overpayments to the account and sends a letter of overpayment to insurance company.
  • Requests refunds when appropriate.
  • Posts refunds in PAS after BOM and Administrator have approved. Ensures all documentation is complete.
  • Mails refunds to patients and insurance companies.
  • Transfers payments from one account to another at time of recoup.
  • Adjusts accounts per our contract at time of payment when necessary.
  • Maintains three batches per day, one for mail payments, one for over-the-counter payments and one for credit cards. Balances batches with BOM and deposit.
  • Receives, screens, and routes incoming calls in a professional manner by the third ring...
  • Provides relief for the front business office, receptionist, and other business functions, as needed and is crossed trained to effectively perform other job descriptions.

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Required Skills

Qualifications:

• High school diploma or equivalent required
• Minimum of 2 years of patient account billing or payment posting experience

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Required Experience