Billing Support Specialist
Surgical Information Systems
full-time
Posted on:
Location Type: Remote
Location: Alabama • Florida • United States
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About the role
- Maintain site specifics for assigned clients
- Be able to verify the correct contract rate is applied to the billing
- Work billing rejections in clearinghouses: Waystar
- Communicate and supply documentation to coding and billing department including Op notes, implant logs, pathology reports
- Be the go between providing document management between coding team, billing team and client to effectively bill claim
- Provide feedback, guidance, and training support to billers to correct and prevent charge posting errors
- Monitor quality of charge entry and claim submission
- Ensure timely filing of claims via electronic submission or paper submission
- Resolve and reconcile submissions, rejections and edits daily
- Must have a clear understanding of the insurance collection process
- Ability to solve problems associated with tasks
- Enter charge corrections provided by AR Specialists and rebill to payers as needed
- Correct and resend rejected claims
- Generate EOM unbilled reporting
- Familiar with CPT codes, ICD and modifiers
- Calculate pricing for implants and supplies accurately based on site specifics
- Communicate professionally with internal and/or external clients
- Pull case documents for audits as needed
- Posting for Clients with offshore restrictions as needed
- Perform other assigned duties
Requirements
- High school graduate or GED certification
- Knowledge of medical billing and insurance guidelines required
- Proven experience working payer rejections at time of billing including but not limited to commercial, government, out of network, workers compensation, and auto-vehicle
- Knowledge of computers and Windows-driven software (MS Word, Excel, and Outlook)
- Excellent command of written and spoken English
- Cooperative attitude toward and with co-employees, management, patients, and outside contacts
- Strong attention to detail and speed while working within tight deadlines
- Exceptional ability to follow oral and written instructions
- A high degree of flexibility and professionalism
- Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
- A working knowledge of IPAs and health plans is required
- Comfortable with electronic and manual payor follow-up
- Able to quickly identify trends and escalate, as appropriate
- Ability to read, analyze and interpret insurance plans, financial reports, and legal documents
Benefits
- Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
- Vacation/Sick time
- 401(k) retirement plan with company match
- Paid Holidays
- SIS Cares Day
- Hybrid or Remote environment depending on the role
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billinginsurance guidelinesCPT codesICD codescharge entryclaim submissionbilling rejectionsEOM reportingcharge correctionspricing calculation
Soft Skills
attention to detailproblem-solvingcommunicationcooperative attitudeflexibilityprofessionalismability to follow instructionstime managementtraining supportfeedback provision
Certifications
high school diplomaGED certification