Internal Control Coordinator (17991-147)

United Surgical Partners International Addison , TX 75001

Posted 2 months ago


  • Review and submission of patient refunds into the patient portal as well as submitting insurance refund request to the AP department.

  • Knowledge of how to interpret Explanation of benefits

  • How to understand Managed Care contracts

  • All refunds approvals 1st and 2nd level

  • Monthly/Quarterly Credit Balance Reports

  • Supplier Reports

  • Balancing AR/AP

  • Identify and explain variances

  • Individual should be flexible to perform a variety of duties

  • Other duties as assigned

Required Skills


  • High school graduate or equivalent.

  • Two /three years previous billing/posting experience

  • Knowledge of Advantx registration, user tables for insurance carriers, CPT, procedure, and diagnosis codes.

  • Knowledge of facility Managed Care Contracts a must.

  • Knowledge of required detailed accurate information policies and procedures.

  • Understands all areas covered in Registration/insurance screens.

  • Understanding and basic knowledge of CPT and ICD 10 codes.

  • Oracle AP system a plus

  • Ability to interact with team members, management and facility staff.

  • Must have the skills necessary to operate the office equipment required to fulfill job duties.

  • Forty-five (45) wpm typing skills.

  • Medical terminology and computer experience beneficial

  • Good communication skills: written and verbal

Required Experience


Advantx procedures.

  • Knowledge of procedures for approving refunds posting to Advantx.

  • Knowledge of procedures for approving adjustment posting to Advantx.

  • Knowledge of Advantx registration, Insurance tabs, user tables for insurance carriers, CPT, procedure, and diagnosis codes.

  • Balances all batches prior to closing batch.

  • Knowledge of facility Managed Care Contracts.

  • Verifies data for accuracy.

  • Notify Facility and/or Management of any discrepancies.

  • Understands all areas covered in Registration/insurance screens.

  • Updates Patient Registration due to address updated from returned statements

  • Understanding and basic knowledge of CPT and ICD.10 codes.

  • Ability to interact with team members, management and facility staff.

  • Works with teammates to ensure all deadlines are met.

Scan Chart

  • Knowledge of how to research payments/EOBs.

  • Knowledge of how to work correspondence and ensure it has been worked.

  • Knowledge of how to pull Medical records in order to submit to the insurance companies for review.

  • Knowledge of how to scan documents.

  • Other assignments

  • Work with Manager/Supervisor to audit and re-train staff.

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Internal Control Coordinator (17991-147)

United Surgical Partners International