About the Role:To be considered a qualified candidate, must have knowledge of Medical Billing and working insurance AR.What You'll Be Doing - Responsible for ensuring the final resolution of all insurance and guarantor owed balances. This would include but not be limited to follow-up and resubmission of claims not on file, filing of appeals for claims denied in error, collection of guarantor balances in accordance with written policy, electronic and telephone communication with payers and refunds.
- Responsible for maintaining day-to-day operations of team lead direct reports
- Ability to troubleshoot billing problems for the Revenue Cycle department
- Qualified candidates must be highly organized with a strong work focus.
- Responsible for communication of incorrect filing issues that result in claim being denied to office staff and Revenue Cycle Director.
- Responsible for developing relationships with representatives of all payers to help resolve issues regarding claims payment, denials, policies and problems.
- Monitoring of aged accounts balances, both insurance and guarantor types, insuring compliance within corporate benchmarks set in accordance with the MGMA for superior performance.
- Responsible for ensuring the daily production and quality standards of the Corporate and Departmental written policy and procedures are met.
- Responsible for daily report of progress/problems to Revenue Cycle Director.
- Responsible for ensuring appropriate documentation to support write-offs, transfers to collection agencies, and adjustments to all accounts.
- Responsible for random audits of all positions to ensure compliance with Corporate and Departmental policies and procedures.
- Maintain working relationships with other Supervisors/Team Leaders to ensure communication, cross-training and resolution of problems.
- Responsible for adhering to the Corporate Confidentiality Policy.
- Other duties as assigned.
What We Expect from You To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience- High School Diploma or equivalent required.
- Minimum of two (2) years medical billing experience is required.
- Knowledge of Revenue Cycle components.
- Prior Medent experience is preferred but not necessary.
- Knowledge of all third-party payor regulations and compliance policies.
Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine correspondence. Ability to speak effectively before individuals or groups of people.
Computer SkillsTo perform this job successfully, an individual should have knowledge of basic computer software.
Other Skills and Abilities - Excellent written and verbal communication skills
- Excellent organizational skills
- Ability to meet standard productions goals
- Ability to handle multiple tasking
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
Work EnvironmentThis job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Other DutiesPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
TravelTravel is primarily local during the business day.
Position Type/Expected Hours of WorkThis is a full-time position. Days and hours of work are Monday through Friday, approximately 8 hours per workday. Occasional evening and weekend work may be required as job duties demand.
What We are Offer YouAt U.S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here Every Family Matters
CompassionMake Someone's Day
CollaborationAchieve Possibilities Together
RespectTreat people with dignity
AccountabilityDo the right thingBeyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more.
About US Urology PartnersU.S. Urology Partners is one of the nation's largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy.Salary Range: Please note that the hourly range for this position will vary based on experience level, education and geographical location.$0.00 - $0.00 / hourU.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.