Medical Billing Specialist FT

United Surgical Partners International, Inc; Moline (IL); On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented Billing Specialist to manage the entire billing process for patient accounts. This role involves submitting bills to insurance, collaborating with coding specialists, and ensuring timely collections. The ideal candidate will have a strong background in medical billing and excellent communication skills. Join a team that values diversity and fosters better care through partnerships with healthcare providers. This is a fantastic opportunity to contribute to a leading organization dedicated to clinical excellence.

Qualifications

• 3+ years of medical billing experience with knowledge of managed care and Medicare.
• Strong communication and organizational skills are essential.

Responsibilities

• Submit patient procedure bills to insurance and manage collections.
• Process rejected claims and contact insurance for outstanding payments.

Skills

Medical Billing Experience

Claims Reimbursement Knowledge

Fluency in Medical Terminology

Organizational Skills

Communication Skills

Critical Thinking Skills

Microsoft Office Proficiency

Education

High School Diploma

Job description

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Job Summary

The Billing Specialist is responsible for overseeing the entire billing process for patient accounts, including submitting all billings to insurance in a timely manner, collaborating with our coding specialist to ensure accurate coding, leading monthly coding audits, and managing insurance collections.

Essential Job Duties and Responsibilities

1. Electronically submit patient procedure bills to third-party payers.
2. Perform timely and accurate postings of payments received from third-party payers and/or patients.
3. Process all rejected and denied claims submitted to third-party payers promptly and accurately.
4. Contact insurance companies to collect outstanding payments.
5. Monitor and collect accounts receivable (AR) aging.
6. Interpret managed care contracts, Medicare, Medicaid, and Workers Compensation claims.
7. Identify accounts that have been underpaid or overpaid.
8. Issue credit balance information to insurance carriers or patients.
9. Demonstrate excellent communication and negotiation skills.
10. Work independently and collaboratively with other business office staff.
11. Maintain a professional demeanor and appearance.
12. Work well in stressful environments and situations requiring patience.

Required Skills

1. High School Diploma or equivalent.
2. At least 3 years of experience in medical billing, with extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers' Compensation, and Commercial plans.
3. Deep understanding of billing, collections, and reimbursement processes.
4. Fluency in medical terminology and CPT codes.
5. Ability to work independently.
6. Strong organizational, time management, and task prioritization skills.
7. Excellent verbal and written communication and interpersonal skills.
8. Outstanding customer service skills, demonstrating professionalism at all times.
9. Critical thinking skills.
10. Proficiency with Microsoft Office products.
11. Understanding of healthcare policies, including HIPAA regulations.

Who We Are

At USPI, we create relationships that foster better care. We partner with physicians and healthcare systems to provide top-tier ambulatory solutions across the United States. We are dedicated to delivering surgical services efficiently and with clinical excellence.

USPI values an inclusive culture that respects differences and supports individual contributions. We believe diversity strengthens us and enhances our ability to serve our diverse patient and physician communities.

Additional Information

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Healthcare Provider
• Industries: Hospitals and Healthcare