Billing Representative Clerk (FT) - Greensboro Specialty Surgical
Employment Type : Full-Time
Overview: Surgical Care Affiliates (SCA) is transforming specialty care in our communities. We relentlessly create value by aligning physicians, health plans and health systems around a common goal: delivering exceptional care and healing to our patients and communities we serve. We are driven to achieve the quadruple aim in health care: high quality outcomes and a better experience for patients and providers, all at a lower total cost of care. As a national leader in surgical care, SCA’s 10,000 teammates operate more than 250 surgical facilities that serve nearly 1 million patients per year. For more information on SCA, visit www.scasurgery.com.
Why join SCA? Consider the following fantastic benefits…- Positive work culture
- Career growth opportunities
- Comprehensive medical, vision and dental insurance – eligible on Day 1 of employment
- Paid time off plus 8 paid holidays
- Maternity/paternity/adoption benefits
- Employer-paid life and short- and long-term disability insurance
- Excellent 401(k) Plan
Accountabilities / Responsibilities: We are seeking a Full Time experienced ASC Biller who is a reliable, detail-oriented, takes initiative, is a skilled problem solver, self-directed and able to work independently, and who has a positive and cooperative work ethic Possess basic knowledge of medical terminology and health insurance billing.- Possess knowledge of typing, word processing, spreadsheet preparation, and computer billing systems.
- CPT & ICD 10 knowledge.
- Daily transmittal to Coding Team of H&Ps, Operative Reports, & any other correspondence required to accurately code cases.
- Accurately bill CPT Codes, implants, and supplies per the UBO’s Billing Protocols.
- Ability to accurately calculate implant, supply, and pharmaceutical implant mark-up and reimbursement.
- Submitting accurate primary & secondary insurance claims to insurance providers following agency and payer guidelines.
- Performing accurate Time of Billing adjustments for procedures, implants, and supplies based on the appropriate contract.
- Knowledge of multiple insurance contracts, Medicare, and W/C Fee Schedule.
- Responsible for daily reconciliation of charges posted (Daily Summary Report, Open Transaction Report, & Daily Posting Report) and uploading these documents to SharePoint.
- Manages unbilled cases by providing ample notes in PAS and reporting to Business Office Manager on a weekly basis what is required to bill.
- Verifies and resolves all rejections in electronic claim clearinghouse, prepares and mails UB claims, and gathers appropriate medical records to send with claims sent via mail.
- Participates in any other business office functions as needed and at the direction of the Business Office Manager.
Qualifications:- High school diploma or GED certificate
- Possess basic knowledge of medical terminology.
- Possess knowledge of health insurance billing.
- Possess knowledge of typing, word processing, spreadsheet and computer billing systems.
- Ability to handle confidential information.
- Ability to work independently and as a self-starter with a high level of initiative
- Ability to multi-task.
- Strives to be professional, courteous, helpful and cooperative
- Good computer and typing skills
- Good communication skills, strong emphasis on excellent customer service