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Columbus, Ohio, United States
Onsite
About the Role
To be considered a qualified candidate, must have minimum of two years of related revenue cycle experience. Urology experience a plus.
What You’ll Be Doing
Will keep lines of communication open with the Supervisor.
Submitting accurate and timely medical claims to insurance companies.
Following up on unpaid or underpaid claims to ensure timely collection of outstanding balances.
Identifying and resolving claim denials and rejections, including researching issues and resubmitting claims.
Maintains all patient information according to the established patient confidentiality policy.
Maintains compliance with all governmental and regulatory requirements.
Responsible for completing, in a timely manner, all mandated training and in-services, including but not limited to annual OSHA training and PPD placements.
Responsible for working Accounts Receivable (AR) for assigned providers/ insurance.
Performs all other duties as assigned.
What We Expect from You
High School Graduate or equivalent
Minimum of two (2) years related medical billing experience is required
Experience with denial management and appeals
Strong knowledge of insurance processes
Familiar with ICD10 and HCPCS codes
Experience with EMR/ EHR systems
Proficient in Microsoft Excel
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have thorough knowledge in computer information systems.
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 Environment
This 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 Duties
Please 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.
Travel
Travel is expected when needed (ex: mandatory onsite training)
What We are Offer You
At 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”
Make Someone’s Day
Achieve Possibilities Together
Treat people with dignity
Do the right thing
Beyond 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 Partners
U.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.
U.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.