Registration and Billing Clerk - United Surgical Partners International Inc (USPI)

AtAdventHealth Surgery Center Wellswood, we believe health and care are inseparable. We provide first-class surgical services for local communities and recognize our employees as our number one assets. As a PACU nurse at our facility, you have the opportunity to enjoy no calls, no weekends and no holidays.
We focus on offering a high quality, ambulatory care alternative to a hospital for surgical procedures. We have been in operation at this location since 1985 and perform over 6,000 surgeries per year. Specialty areas include ENT, GI Lab, General Surgery, GYN, Ophthalmology, Orthopedics, Pain Management, Plastic Surgery, Podiatry, Oral Surgery and Urology.

We are currently hiring a Registration and Billing Clerk!

The Registration and Billing Clerk interfaces with patients and families, physicians and staff.

• Admits patients and process their paperwork.
• Updates patient demographics/information in system.
• Pull any preoperative notes from the designated transcription company.
• Extract information from medical records, operative notes, invoices, progress notes and discharge paperwork to ensure completeness and accuracy of charge entry.
• 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.
• Execute the recurring billing workflow and generate and transmit claims daily.
• 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 the period-end close process.
• Complete accurate charge entry for all assigned cases and upload to designated electronic claims clearinghouse daily.
• Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.
• Maintain current knowledge of health care billing laws, rules and regulations and developments

• 2+ years of experience preferred.
• Ability to read and interpret insurance explanations of benefits and managed care contracts.
• Must communicate effectively, both verbally and in writing, with internal and external clients.
• Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines
• Knowledge or experience working with a variety of health care insurance payers is preferred
• Intermediate computer proficiency in Microsoft Office including Excel and Outlook, Advantx, Vision, HST, Waystar experience preferred.
• High School Diploma or equivalent.