United Surgical Partners International is a company that specializes in the development and operation of Ambulatory Surgical Facilities in the U.S. We provide first-class surgical services for local communities and recognize our employees are our number one assets.
FUNCTIONS AND RESPONSIBILITY:
Responsible for the daily input of billing and payment posting to patient accounts.
Initiate patient and insurance refunds as needed to process overpayments
Transfer balances after insurance payements are received to paitent responsibility
Communicate needs for low payment appeals or collector follow up
Print claims and copy payment information for secondary insurance billing
Calculate correct fee and expected reimbursement
Allocate patient prepayments to services performed
Should be able to interpret and perform adjustments for multiple managed care plans and knowledge of third party payors and managed care payment guidelines.
Ability to communicate and understand adjustments to accounts and the ability to resolve over/underpayments immediately.
The working enviroment is representative of the essential functions of the job. Physical demands require employee to sit for extended periods of time. Attire is business casual.
High school diploma or equivalent
Healthcare background preferred
Account and math skills
Excellent communication skills
Familiar with patient accounting software, especially Advantx
Abilith to read and understand explanations of benefits and managed care contracts
Knowledge of Internet Explore, Microsoft Excell, Mcrosoft Workd and Outlook
United Surgical Partners International - 18 months ago