Hospital Billing Specialist, Level II

Hospital Billing Specialist, Level II at United Surgical Partners International, Inc

Reporting to the Billing Supervisor, Level 2 Billers are responsible for the daily entry of charges for their assigned surgical centers, lifecycle of claim reimbursement by assigning modifiers, diagnosis codes, and revenue codes according to reimbursement guidelines.

• Act as a resource for all critical aspects of the CBO, liaising between departments and assisting Level 1 Billers.
• Execute the recurring billing workflow and generate and transmit to designated electronic claims clearinghouse daily.
• Work DNFB, Hold Timeline Report and Late charges for assigned facilities.
• Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.
• Edit failures, coding updates, answer facility emails and CSO departmental emails, and billing as needed.
• Ensure timely follow‑up and resolution of internal and external inquiries of billing issues (e.g., operative notes, invoices, or implant pricing).
• Reconcile revenue and billing during the month‑end close process.
• Maintain current knowledge of healthcare billing laws, rules, and regulations and developments.
• Help with reports/special projects as needed and other duties as assigned in accordance with priority.

• One year’s previous experience or some hospital clerical experience or medical terminology preferred.
• Positive demeanor, strong verbal and written communication skills, and professional appearance and approach.
• Ability to handle stressful situations, multitask, and manage competing priorities while meeting or exceeding deadlines.
• Knowledge or experience with a variety of health‑care insurance payers preferred.
• Experience with Cerner, nThrive, Advantx, Waystar, Meditech, and/or Effecient
  
  C preferred.
• Intermediate computer proficiency in Microsoft Office, including Excel and Outlook.
• High school graduate or equivalent.
• Understanding of medical terminology.
• Basic understanding of billing guidelines and laws.

• Entry level

• Full‑time

• Accounting'