Billing Representative Clerk (FT) - Greensboro Specialty Surgical

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