Surgery Partners

Compensation

Full Description

JOB TITLE: Biller GENERAL SUMMARY OF DUTIES: 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 UB92 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. SUPERVISION RECEIVED: Billing and Coding Supervisor EDUCATION/EXPERIENCE: 1. High school diploma. 2. Minimum of two years of experience with medical office billing procedures. 3. Billing Certification preferred. KNOWLEDGE: 1. Knowledge of clinic policies and procedures. 2. Knowledge of 3 rd party payers, Medicare, Medicaid Billing/Collections, HCPC, CPT, and ICD-9 coding. 3. Knowledge of computer systems, programs, data entry, and spreadsheet applications. 4. Knowledge of medical terminology and analyzing information. 5. Knowledge of collection practices. 6. Knowledge of governmental, legal, and regulatory provisions related to collection activity. ESSENTIAL FUNCTIONS: 1. Resolves disputed claims by gathering, verifying, providing additional information, and following-up on claims. 2. Resolves discrepancies by examining and evaluating data and selecting corrective steps. 3. Maintains work operations by following policies and procedures and reporting compliance issues. 4. Maintains quality results by following standards set forth by the company. 5. Updates job knowledge by participating in educational opportunities, reading professional publications, keeping current on Medicaid/Medicare billing, and reimbursement procedures. 6. Other assigned duties as assigned. SKILLS: 1. Skills in gathering and reporting claim information. 2. Skills in solving utilization problems. 3. Skills in written and verbal communication, as well as customer relations. 4. Skills in working with Windows based software systems PERFORMANCE EXPECTATIONS: 1. Ability to work effectively with medical staff and external agencies. 2. Ability to identify, analyze, and solve claim issues. 3. Ability to deal courteously and professionally with internal and external customers. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.