Coder full time

This position will work closely with the Revenue Cycle Manager and will be responsible for all aspects of the Revenue Cycle, including but not limited to: insurance verifications, billing, insurance and patient collections, coding, cash payment posting, and patient services.

Essential Duties & Responsibilities

• Research and resolve patient issues, respond to inquiries by center staff regarding patient account issues, and assist with weekly patient statements.
• Conduct insurance verification and validation on all ASC scheduled patients to ensure eligibility and benefits are in order for accurate claim submission and payment.
• Communicate with patients in advance of their procedure regarding the patient's financial responsibility (co-pay) due at the time of the procedure.
• Work with management in identifying, researching, and resolving issues which may lead to inaccurate or untimely filing of claims, claim rejections, and/or other billing and collections issues which may arise.
• Meet and/or exceed the daily production goals as defined by the Revenue Cycle Manager.
• Assist management team in providing training, assistance, and/or guidance to other staff members in issues of accounts resolution through billing, collections, and/or denial processing techniques.
• Compile and submit claims to insurance companies based on data provided by the medical coders.
• Review first initial claim scrub and billing to the clearinghouse utilizing billing and practice management software.
• Validate claims and make necessary corrections to send out clean claims to the payers electronically and/or via paper.
• Employ effective and efficient billing techniques, and self-directed initiative, to resolve all types of billing edits.
• Resolve disputed balances in our billing and practice management software.
• Process credit card transactions.
• Post all payments and adjustments to the specified patient account in accordance with current policy and procedure.
• Ensure accuracy of posting by balancing deposit totals to system generated report.
• Properly close all assigned batches in a timely manner.
• Maintain daily posting logs and reconciliation.
• Work with management and other revenue cycle staff to improve processes to increase accuracy and efficiency.
• Read, understand and adhere to company Associate Handbook.
• Handle incoming calls on a daily basis, exhibiting excellent customer services skills.
• Research and resolve account issues utilizing management and tools provided. Escalate issues as appropriate.
• Research and respond to inquiries by Center Staff regarding patient account issues.
• Review and audit revenue functions in current operating system and report issues as appropriate.
• Respond to emails in a timely manner and work reports daily.
• This position requires that the employee present an example of appropriate work habits, behavior, and positive attitude toward co-workers and administration.
• Regular and reliable attendance.
• Exhibit continual adherence to policies and regulations regarding HIPAA and Electronic Patient Health Information (EPHI).
• Deal effectively with a diversity of individuals at all organizational levels.
• Other duties as assigned by Management.

Pay range: Min $24 - Max $27

Benefits

USPI offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave)
• 401k retirement plan
• Paid holidays
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance Program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance.

• High School Diploma or equivalent.
• 2 years of experience in a medical office or healthcare business office.
• Medical Billing certification preferred.
• Experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.
• Experience with Anesthesia, Ambulatory Surgery and Lab billing preferred.
• Experience with CPT, ICD-10, and NCCI coding.

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