Provide quality, timely, courteous service, and optimum maintenance of patient accounts, including dissemination of information, billing services, follow-up, and collection of accounts receivable, bad debt, governmental, and contract compliance issues/guidelines
MINIMUM EXPERIENCE:2 years of experience in hospital business office, insurance claims processing, physician office billing and/or hospital admitting and PC/CRT
PREFERRED EXPERIENCE:3 years recent in hospital business office. Basic medical terminology; working knowledge of third-party payors, federal, state, and local billing regulations; and bilingual (English and Spanish)
Shift: Days
Hours: 8am to 5pm
General Functions:
·Demonstrates required skills for communication with various health insurance providers
·Possesses moderate billing knowledge, with the ability to perform remittance review and analysis
·Follows-up on secondary insurance billing, Medicaid appeals and denials and commercial appeals
·Identifies late charges and credit corrections
·Adds insurance profiles
·Communicates appeals to insurance company regarding denials
Department/Business Unit Functions:
·Verifies eligibility from various insurance agencies
·Retrieves patient accounts
·Addresses letters from Medicare, works with prompt pay issues
·Makes insurance follow-up calls
·Performs corrections and updates to the insurance master
·Files, faxes, copies and performs other clerical duties
·Performs data entry, work processing and correspondence duties
·Performs special projects as assigned
·Utilizes resources efficiently and effectively
·Maintains safe environment
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.