Accessibility Note:
Surgery Partners is committed to complying with all applicable provisions of the Americans with Disabilities Act, as amended (“ADA”), and applicable state and local laws. It is the Company’s policy not to discriminate against any qualified people or applicant with regard to any terms or conditions of employment on the basis of such individual’s disability. Consistent with this policy of non-discrimination, the Company will provide reasonable accommodations to an individual with a disability, as defined in the ADA or applicable law, who has made the Company aware of his/her disability, unless doing so would cause an undue hardship to the Company. If you are an applicant and need a reasonable accommodation when applying for job opportunities within the Company or request a reasonable accommodation to utilize the Company’s online employment application, please contact talentacquisition@surgerypartners.com
JOB SUMMARY
Responsible for medical billing and account follow-up, transmitting patient care information, resolving discrepancies, adjusting patient bills, and preparing reports. Must be proficient at utilizing UB04 and HCFA 1500 electronic and manual billing processes. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner.
DUTIES AND RESPONSIBILITIES
- Resolves disputed claims by gathering, verifying, providing additional information, and following up on claims.
- Resolves discrepancies by examining and evaluating data and selecting corrective steps.
- Maintains work operations by following policies and procedures and reporting compliance issues.
- Maintains quality results by following standards set forth by the company.
- Updates job knowledge by participating in educational opportunities, reading professional publications, and keeping current on Medicaid/Medicare billing and reimbursement procedures.
- Other duties as assigned.
QUALIFICATIONS
EDUCATION
- High school diploma.
EXPERIENCE
- Minimum of two years of experience with medical office billing procedures.
LICENSE(S)/CERTIFICATION(S)
- Billing Certification preferred.
KNOWLEDGE/SKILLS/ABILITIES
- Skills in gathering and reporting claim information.
- Skills in solving utilization problems.
- Skills in written and verbal communication and customer relations.
- Skills in working with Windows-based software systems.
- Ability to work effectively with medical staff and external agencies.
- Ability to identify, analyze, and solve claim issues.
- Ability to deal courteously and professionally with internal and external customers.
- Knowledge of clinic policies and procedures.
- Knowledge of third-party payers, Medicare, Medicaid billing/collections, HCPCS, CPT, and ICD coding.
- Knowledge of computer systems, programs, data entry, and spreadsheet applications.
- Knowledge of medical terminology and analyzing information.
- Knowledge of collection practices.
- Knowledge of governmental, legal, and regulatory provisions related to collection activity.
Benefits:
- Comprehensive health, dental, and vision insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
- And more!
Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
Surgery Partners conducts pre-employment screenings including but not limited to criminal background checks and drug testing.