United Surgical Partners International is a publicly traded company that specializes in the development and operation of Ambulatory Surgical Facilities in the U.S. and the UK. We provide first-class surgical services for local communities and recognize our employees as our number one assets.

DO YOU HAVE 2+ YEARS OF ASC REVENUE CYCLE EXPERIENCE OR ORTHOPEDIC BILLING & COLLECTIONS EXPERIENCE?

ARE YOU LOOKING FOR AN INCREDIBLE OPPORTUNITY TO WORK IN AN ENVIRONMENT WHERE WE HAVE MORE FUN THAN WE PROBABLY SHOULD?

IDEAL EXPERIENCE: Full revenue cycle including A/R, Medical Billing, Medical Coding, and Payment Posting.

WHAT WE DO: Full Revenue Cycle Management for Outpatient Surgical facilities. We are the industry leader in ASC reimbursement. We navigate complex payer policies, including and understanding payment models for both contracted and non-contracted payer types, we identify payer trends and work from front end demographic capture, coding, and billing to back-end EOB analysis, cash applications, insurance, and patient collections.

WHAT WE OFFER: Nonhospital/clinic setting. Full time position with benefits. Training. Fun, upbeat, positive, energetic workplace.

ACCOUNTS RECEIVABLE SPECIALIST DAILY DUTIES WILL INCLUDE THE FOLLOWING:

Manage the revenue cycle of assigned client which includes but is not limited to:

• Timely follow-up of all unpaid/denied claims with insurance carriers
• Reviewing & working incoming correspondence including refund requests
• Sending appeals when appropriate or providing medical documentation for medical necessity
• Reviewing patient balances and resolving patient billing issues

BILLING SPECIALIST/CHARGE ENTRY DAILY DUTIES WILL INCLUDE THE FOLLOWING:

• Enter charges & transmit clean claims per coding, carrier, and contract guidelines.

• Capture implants, high-cost supplies, high-cost drugs, post op pain blocks and observations times prior to charge submission

• Resolve any and all clearinghouse rejections daily.

• Ensure timely follow-up and resolution of internal and external inquiries of billing issues (i.e., operative notes, POPM form, invoices, or implant pricing etc)

• Reconcile revenue and billing during period-end close process

PAYMENT POSTING SPECIALIST DAILY DUTIES WILL INCLUDE THE FOLLOWING:

• Post daily cash and correspondence received assessing insurance carrier explanation of benefits (EOBs) for in & out of network services to identify correct payments or assess denial reasons.
• Post adjustments, transfers, and/or refunds based on contractual agreements
• Perform weekly variance reviews to ensure all clients are balanced with 100% accuracy.

Required Skills

Requirements Qualification Requirements:

• 2+ YEARS ASC REVENUE CYCLE OR ORTHOPEDIC BILLING & COLLECTIONS EXPERIENCE.
• High School Diploma or equivalent.
• Excellent communication skills using proper English grammar.
• Familiar with patient accounting software, especially AdvantX.
• Ability to read and understand insurance explanations of benefits and managed care contracts
• Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook.

Required Experience