USAP – US Anesthesia Partners
Overview
Data Entry team member whose primary responsibility will be working and clearing edits in TES and BAR. Posting prepay payments, doing package adjustments, and sending out monthly invoices for all package accounts that are surgeon/facility directed.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
- Processing and clearing TES and BAR edits to ensure clean claims going out.
- Contacting surgeon/facilities to confirm billing information.
- Running eligibility on a variety of insurance portals.
- Confirming authorizations, etc. in hospital portals
- Working prepay task manager view in order to process cosmetic adjustments.
- Send out monthly invoices to all surgeon/facility directed accounts.
- Post all prepay payments to patient accounts.
- Reconcile any package credit balances.
- Partnering with surgeons’ offices and facilities to help resolve any billing or patient issues.
- Partnering with other RCM departments to ensure appropriate billing for cosmetic/insurance splits.
- Processing custom edits to ensure proper billing to either patient or surgeon.
REPORTING TO THIS POSITION: This position will not be responsible for any direct reports.
Qualifications
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
- Healthcare/RCM experience
- Professional communication skills, both verbal and written
EDUCATION/TRAINING/EXPERIENCE:
- High School diploma
- Healthcare/RCM experience a must
- Anesthesia knowledge is a bonus
- Payment posting experience preferred
PHYSICAL REQUIREMENTS:
- Ability to sit at a desk and computer for a full 8 hour shift, continuous data entry
- Ability to answer inbound phone calls and make outbound phone calls
WORKING CONDITIONS (environment and safety):
- Work performed in office environment
- Involves frequent contact with professional staff and managed care organizations
- Work may be stressful at times
- Interaction with others is frequent and often disruptive