Billing Coordinator

Billing Coordinator

USPI Memorial Hermann Surgery Center Pinecroft is seeking a motivated Billing Coordinator to join our team. We have 6 OR rooms and 2 treatment rooms. We perform outpatient surgical procedures in General, GI, ENT, Neurosurgery, Orthopedic, Pain, Plastic, Podiatry, Spine, Urology. Position requires weekdays only -- no holidays, weekends, or call. Some early mornings and later evenings may be required; schedule subject to change based on surgical schedule and flow of the day.

Essential Job Duties and Responsibilities: Identifies procedures and principal diagnosis performed on each patient and properly codes each procedure. Prepares batch for dates of services, posts, balances and closes for the day. Participates in USPI EDGE program. In conjunction with the Medical Records Specialist is responsible for assembling medical chart upon completion, reviews each chart for completeness, and obtains missing signatures or documents in a timely manner. Prepares charts for doctor's signatures, maintains medical record files, and is responsible for all aspects of its confidentiality. Obtains and files all reports generated by outside vendors. Submits charges on patient accounts to correct payer based on the verified insurance information. Performs re-bills to insurance payers and patients as needed and supplies additional information as requested. Maintains and checks implant tracking log and charges for implants or supplies not included in procedure fee. Updates and maintains master copy of all current forms used at the Center. Updates charge master for new/deleted procedure or diagnosis codes. Obtains surgeon signatures on Operative Reports and completes the Medical Record. Maintains log of outstanding Operative Reports and prepares report for the MEC. Assures that new physicians have transcription number and information. Resolves any problems with the transcription service. Is knowledgeable about current coding conventions and applicable state and federal laws as they pertain to billing, coding and consents. Backs up Accounts Receivable representative as needed. Receives, screens, and routes incoming calls in a professional manner by the third ring. Informs Business Office Manager of applicable day-to-day situations. Follows employee health, safety, personnel, and staffing policies. Successfully works as a team member. Shall be flexible, reliable, productive, patient-oriented and self-motivated. This individual will be the back materials manager.

What We Offer

As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes the following, subject to employment status:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs and HSAs
• 401(k) and access to retirement planning
• Paid holidays and vacation

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

Required Skills:

Qualifications:

High school diploma or GED RHIT or ART preferred One-year experience in ambulatory surgery center billing, collections, and medical records experience Demonstrated proficiency in the most current coding conventions on ambulatory surgery medical records Knowledge of third party billing, including Medicare, Managed care, commercial, and Worker's compensation. Capable of operating 10 key calculator and demonstrated computer skills