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SIS | Operate Smart
Billing Support Specialist
Location
Florida
Posted
67 days ago
Salary
0
Seniority
Senior
Job Description
Billing Support Specialist
Surgical Information Systems
• 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
Job 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
- Ability to promote favorable company image with patients, insurance companies, and general public
- 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
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