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Billing Specialist

Job ID: 31045 Date posted: 05/24/2022 Location: Tampa, Florida Facility: USPI
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Job Details

Position Summary

Billing Specialists are responsible for the proper documentation of claim forms and the billing of surgical procedures.  Perform complete chart reviews, verifying patient demographics, assigning codes and modifiers in accordance with coding and reimbursement guidelines for appropriate reimbursement.

Day-to-Day Responsibilities

  • Pull and prep operative notes from our designated transcription company
  • Extract information from medical records, operative notes, invoices, progress notes and discharges to ensure completeness and accuracy
  • Capture implants, high cost supplies, high cost drugs, post op pain blocks and observations times prior to charge submission
  • Review accuracy of invoice details, including customer billing instructions, pricing, discounts, state sales tax, etc.
  • Run recurring billing workflow and issue claims
  • Ensure timely follow-up and resolution of internal and external inquiries of billing issues (i.e., operative notes, POPM form, invoices or implant pricing etc)
  • Reconcile revenue and billing during period-end close process
  • Complete cases and upload to designated electronic claims clearinghouse
  • Maintain current knowledge of health care billing laws, rules and regulations and developments
  • Generate professional written and verbal communication with clients and co-workers

Required Skills:

How to exhibit NSN values in this role:

Knowledge –  We are the experts in our field AND our work reflects it.

Persistence & Culture – Failure is not an option. We find a way for our clients, our team.

Work Ethic & Mentality – We hustle like our paychecks depend on it – Because they do.

Integrity – We lead by doing what is RIGHT, not what is easy and we always protect what we have built. 

Innovation – We welcome change and engineer innovation because that is what it takes to be the best. 

Community – Above all we are a team, we show up, we act with kindness, we are genuine.  We keep it real.

Required Experience:

Requirements (Skills and qualifications)

  • Education: there are no specific educational requirements for this position.
  • Experience: At least 2-5 years of medical facility billing experience, out of network helpful. Orthopedic/Pain management/ Ambulatory Surgery Center is highly preferred.
  • Strong knowledge of computerized billing systems. Experience with Vision, AdvantX and/ or Zirmed/Waystar is helpful.
  • Basic level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.
  • Critical thinking to identify and resolve complex problems in a remote work environment.
  • Technical expertise in prioritizing tasks while meeting or exceeding deadlines.
  • Excellent customer service skills to enhance a cooperative virtual team and energetic work environment.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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