What are the responsibilities and job description for the Billing Assistant position at United Surgical Partners International Inc (USPI)?
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 :
Required Experience
Requirements :
