Benefits:
401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance
We are seeking a detail-oriented and knowledgeable Medical Biller to join our company, and liaise with the outside billing department. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding and submission of claims and payment follow-up. This role is crucial in facilitating the financial operations of our centers while ensuring compliance with healthcare regulations.
Requirements/Responsibilities:
· 5 years of Surgical Center (ASC) billing experience is absolutely required
· MUST be available to work on site
· Strong knowledge of outpatient surgical procedures in a multi-specialty ASC preferred
· Experience with Automobile Insurance, Major Medical/Commercial Insurance and Lien Cases
· EMR systems: 3 years (Required)
· Medical coding: 3 years
· Proficient in English
Responsibilities
Review unbilled cases and identify missed revenue opportunities.
Assist in reducing AR days related to coding or billing errors or lack of follow-up.
Monitor billing accuracy and reimbursement reconciliation.
Contact attorney offices for lien case payments after reductions been done
Collections (Monitoring insurance claims by running appropriate reports and communicate with the appropriate people/departments resolve claims that are not paid in a timely manner).
Handle escalated billing-related inquiries.
Follow up on claims using various systems, such as practice management, EHR, and clearinghouse.
Prepare monthly audit reports with findings and corrective recommendations.
Audit current procedures to monitor and improve the efficiency of billing and collections operations
Must work well with outside billing services or third-party billers
Required Skills
Proficiency in medical coding (ICD-10, ICD-9) and familiarity with DRG systems.
Excellent attention to detail with strong organizational skills.
Ability to communicate effectively in English
Problem-solving skills to address billing issues efficiently and effectively.