Medical Billing SpecialistTo be considered a qualified candidate, must have knowledge of medical billing and working insurances.What You'll Be DoingResponsible for ensuring the final resolution of all insurance and guarantor owed balances. This would include but not be limited to follow-up and resubmission of claims not on file, filing of appeals for claims denied in error, collection of guarantor balances in accordance with written policy, electronic and telephone communication with payers and refunds.Responsible for maintaining day-to-day operations of team lead direct reportsAbility to troubleshoot billing problems for the Revenue Cycle departmentQualified candidates must be highly organized with a strong work focus.Responsible for communication of incorrect filing issues that result in claim being denied to office staff and Revenue Cycle Director.Responsible for developing relationships with representatives of all payers to help resolve issues regarding claims payment, denials, policies and problems.Monitoring of aged accounts balances, both insurance and guarantor types, insuring compliance within corporate benchmarks set in accordance with the MGMA for superior performance.Responsible for ensuring the daily production and quality standards of the Corporate and Departmental written policy and procedures are met.Responsible for daily report of progress/problems to Revenue Cycle Director.Responsible for ensuring appropriate documentation to support write-offs, transfers to collection agencies, and adjustments to all accounts.Responsible for random audits of all positions to ensure compliance with Corporate and Departmental policies and procedures.Maintain working relationships with other Supervisors/Team Leaders to ensure communication, cross-training and resolution of problems.Responsible for adhering to the Corporate Confidentiality Policy.Other duties as assigned.What We Expect from YouTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.High School Graduate or equivalentReasoning AbilityAbility to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.Computer SkillsTo perform this job successfully, an individual should have thorough knowledge in computer information systems.Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear.
The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.Work EnvironmentThis job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.Salary Range: Please note that the hourly range for this position will vary based on experience level, education and geographical location.$20.50 - $23.50 / hourWhat We Are Offer YouAt U.S. Urology Partners, we are guided by four core values.
Every associate living the core values makes our company an amazing place to work. Here "Every Family Matters"Compassion: Make Someone's DayCollaboration: Achieve Possibilities TogetherRespect: Treat people with dignityAccountability: Do the right thingBeyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more.