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The Woodlands, Texas
Posted: 03-Jan-23
Location: Dallas, Texas
Salary: Open
Internal Number: 37699
- Knowledge of Commercial Managed Care Insurance Contracts and Medicare and Medicaid
- Interpretation of CPT and ICD codes
- Experience in claims processing and or billing environment
- Experience in claim denials and adjustments
- Ability to work in a production focused and quality metric environment
- Attention to detail and accuracy
- Ability to interact with team members, management and customers
- Communicate with facility clients and insurance claim representatives to facilitate timely payment
- Provide excellent and professional customer service to internal and external customers
- Function as a contributing team member while meeting deadlines and productivity and quality standards
- Other duties as assigned
Required Skills:
ROLE AND RESPONSIBILITIES
- Be Approachable and foster a fair and just culture
- Act as a resource for all critical aspects of the Corporate Service Office which includes liaison between departments as well as assisting Level 1 Billers.
- Review and work MedAssets cases, Hold Timeline Report and DFNB Report for assigned facilities
- Dailey work flow: Claim Edit Failures, Coding Updates, Late Charges, answer facility emails as well as CBO departmental emails, and bill as needed
- Assist with reports/special projects as needed, and other duties as assigned in accordance with priority
- Able to work multiple programs simultaneously
PREFERRED SKILLS
- Ability to type and operate in systems and programs fluently
- Understanding of Medical Terminology
- Basic understanding of billing guidelines and laws
ADDITIONAL NOTES
This is not an all-inclusive list. Additional tasks and responsibilities may be added by management based on business need.
USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Required Experience:
QUALIFICATIONS AND EDUCATION REQUIREMENTS
- High school graduate or equivalent.
- One year previous experience or some hospital clerical experience or medical terminology preferred.
- Must have the skills necessary to operate the office equipment required to fulfill job duties.
- Excel, Word, Outlook
- Meditech knowledge preferred