SIS | Operate Smart
Billing Support Specialist
Location
United States
Posted
8 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Billing Support Specialist
Surgical Information Systems
Role Description - Maintain site-specific information for assigned clients. - Verify that the correct contract rate is applied to billing. - Work billing rejections in clearinghouses, including Waystar. - Communicate with and provide documentation to coding and billing departments, including operative notes, implant logs, and pathology reports. - Coordinate document management between the coding team, billing team, and client to support effective claim billing. - Provide feedback, guidance, and training support to billers to correct and prevent charge posting errors. - Monitor the quality of charge entry and claim submission. - Ensure timely filing of claims via electronic or paper submission. - Resolve and reconcile submissions, rejections, and edits daily. - Maintain a clear understanding of the insurance collection process. - Solve problems associated with assigned tasks. - Enter charge corrections provided by AR Specialists and rebill payers as needed. - Correct and resend rejected claims. - Generate end-of-month unbilled reporting. - Apply familiarity with CPT codes, ICD codes, 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. - Post for clients with offshore restrictions as needed. - Perform other assigned duties. Qualifications - Knowledge of medical billing and insurance guidelines is required. - Proven experience working payer rejections at the time of billing, including but not limited to commercial, government, out-of-network, workers’ compensation, and auto-vehicle claims. - Knowledge of computers and Windows-driven software, including Microsoft Word, Excel, and Outlook. - Excellent command of written and spoken English. - Cooperative attitude when working with co-employees, management, patients, and outside contacts. - Ability to promote a favorable company image with patients, insurance companies, and the general public. - Strong attention to detail and speed while working within tight deadlines. - Exceptional ability to follow oral and written instructions. - High degree of flexibility and professionalism. - Experience working in an ancillary or Ambulatory Surgery Center (ASC) environment. - Working knowledge of IPAs and health plans is required. - Comfortable with electronic and manual payer 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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