About the Role 

To support U.S Urology by providing claims processing and precertification for the organization.   

What You’ll Be Doing 

• Coordinates authorizations and benefits with third parties for visits, procedures, surgeries, medications, imaging, lab and any other treatments that are ordered 
• Verifies eligibility and requests authorizations for various medical orders 
• Calculates, communicates with patients and collects co-pays, deductibles, co-insurance, previous balances or other money owed  
• Maintains files for contacts and phone numbers for third party communication  
• Prepares and sends Good Faith Estimates to self pay patients in accordance with the No Surprises Act
• Handles problem referrals with third party and coordinates solution with clinical unit, patient and referral provider 

• Coordinating with physician, clinical staff, insurances, and patients to obtain the authorization  
• Other duties as assigned  

What We Expect from You 

• Two (2) years of experience in Precertification in a medical practice or medical organization (will substitute educational experience for on the job experience) 
• Excellent verbal and written communication skills 
• Benefits or claims processing skills and electronic medical records experience  

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.   

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. 

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”

Compassion

Make Someone’s Day

Collaboration

Achieve Possibilities Together

Respect

Treat people with dignity

Accountability

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.