United Surgical Partners

  • Magnolia, TX, United States
United Surgical Partners Reading, PA, USA
Essential Job Duties and Responsibilities: The following description of the job responsibilities and performance expectations are intended to reflect the primary responsibilities of the job, but are not intended to describe all duties other responsibilities as may be assigned from time to time. Collaborates with Insurance Coordinator on Insurance Authorizations, claim numbers and adjusters. Works with Pre-Admissions clerk of any cancellations and no show fees. Communicates with any and every Adjuster, Nurse Case Manager and Benefits Organizer for negotiations on services rendered. Collaborates with the Patient Accounting Coordinator, Business Office Manager and the CFO. Maintains diagnostic master file and CPT master file in accordance with SIS guidelines. Maintains (on an interim basis) the procedure code master file; evaluates and develops new entries. Interprets and enforces third party payer rules and regulations; including Medicare requirements. Works with physician offices...