Highlights
Print all paper claims from Vision/AdvantX, review claims for accuracy including modifiers, payers, claims addresses, and additional pertinent information included. Gather all supporting documentation such as operative notes, block reports, implant logs, etc. which MUST be attached with mailed claims.
Numbers & Facts
| Location | Sioux Falls, SD |
| Industry | Healthcare Services |
| Company Size | 10,000 employees or more |
| Year Founded | 1998 |
| Website | http://www.uspi.com/ |
Description
Description:
The Billing Assistant provides support to the billing & collections department in an effort to expedite case management. The billing assistant's primary responsibility is to mail clean claims in a timely manner with the appropriate documentation to the payor responsible.
Responsibilities:
- Responsible for mailing paper claims for 30-35 Centers with an average monthly volume of 10K-15k.
- Review Clearinghouse EDI Payer ID's and EMR system to see if claim can be sent electronically vs paper.
- Print all paper claims from Vision/AdvantX, review claims for accuracy including modifiers, payers, claims addresses, and additional pertinent information included.
- Ensure overall claim alignment and claim formatting, per payer guidelines.
- Gather all supporting documentation such as operative notes, block reports, implant logs, etc. which MUST be attached with mailed claims.
- Scan and upload claims & supporting documentation to the daily work folder and/or claims management system.
- Notate in the EMR system with date claim was sent, mailing address, and supporting documentation mailed with claim.
- Manage claim queues to ensure that cases are assigned to the correct team member for processing.
- Collaborate as a team to mail overpayment letters and review returned mail twice a week.
- Monitor communication and automation between various systems to ensure documents are getting to the coding team in a timely manner.
- Coordinate with the billing team to update corrections that need to be addressed in greater detail are completed.
- Complete additional duties as assigned.
Required Skills:
Requirements:
- 1-2 years' experience in medical billing and/or accounts receivables preferably in an ASC setting.
- Knowledge of CPT & ICD-10.
- Strong attention to detail.
- Ability to complete independent assignments with minimal supervision.
- Basic knowledge of payers, EOB's and claims processing.
- Basic knowledge of billing software, vendors, and clearinghouses.
- High School Diploma or equivalent.
About Company
Strength in Numbers
United Surgical Partners International (USPI) and Tenet have combined forces to create the nation’s largest ambulatory surgery provider. Our combined network of exceptional surgical and imaging facilities includes approximately 20 imaging centers, and over 265 short-stay surgical facilities. Together, our partnerships include 50 health systems and more than 4,000 physicians.
Nationwide Experience
Our partners deliver high quality ambulatory solutions in safe, efficient and caring USPI facilities in communities of every size across 29 states. Our physician partners are focused on providing quality patient care, in part because they are invested in their USPI facility. We provide the infrastructure and support they need to perform their best. This is one of the advantages of partnering with USPI.
Quality Patient Services
We share a vision with our physician and health system partners. Our goal is to provide the quality of healthcare services we would insist upon for our own families. Since our founding in 1998, this goal has helped us grow exponentially. Today, our strategic joint venture with Tenet establishes USPI as one of the nation's leading providers of ambulatory solutions.
Operating Excellence
Our size and experience in developing and operating ambulatory facilities and strategic vision allow our facilities to achieve both high patient satisfaction and solid financial results. Moreover, because we engage physicians in the governance and growth of the facility, we also achieve excellent clinical outcomes.