Biller/Accounts Receivable Specialist

1 month ago

City of the Village of Clarkston, United States Clarkston Surgery Center Full time

Clarkston Surgery Center is an established ambulatory surgery center (ASC) in operation since 2009. The staff of this ASC are highly-trained professionals, who are committed to creating and working in positive environment. Clarkston Surgery Center provides the highest level of surgical services. The staff works to continuously improve quality and service by focusing on the processes that are important in meeting the needs of patients and their families and physicians on staff at the facility.



JOB SUMMARY: Performs the facility's accounts receivable functions and maintains the financial goals as set by the facility. Performs other Business Office functions according to the operational needs of the facility.


ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Effectively perform the collections duties on outstanding receivables.
  • Pursue prompt payment from payers and guarantors for outstanding account balances.
  • Generate and analyze aging reports. Review claim information for inaccuracies, prioritize appropriately; submit documentation per payer requests, appeal and contact payers as necessary.
  • Collect money due, handle funds and post payments appropriately in the patient accounting system.
  • Reconcile balances of money received and batch postings. Verify that the totals match.
  • Appropriately forward accounts for outside collections.
  • Document account notes in the patient accounting system.
  • Enter coded data, calculate correct fees and write-offs, and post charges into the patient accounting system.
  • Generate and submit insurance claims - electronically or hardcopy - per payer and industry guidelines.
  • Perform general Business Office functions, including: answer phones, schedule and register patients, enter data into the patient accounting system, and process paperwork.
  • Communicate as needed with surgeons and their office staff, anesthesia staff, facility staff, insurance companies/payers, and patients/families.
  • Perform Medical Records functions including: chart completion, audits, analysis, filing, and other related functions.
  • Perform other Business Office functions according to the operational needs of the facility.
  • Follow HIPAA and facility policy regarding release of records and confidentiality of patient and company information.
  • Abide by facility policies.

KNOWLEDGE, SKILLS, QUALIFICATION and EDUCATIONAL AND /OR EXPERIENCE REQUIREMENTS: High school diploma or equivalent. Certification in medical billing/coding preferred. Minimum of 3-5 years of related experience, preferably in an ASC setting. Must be able to professionally and effectively communicate with patients, physicians, visitors, individuals from various organizations, and other employees of the facility. Computer competency. Basic coding knowledge. Moderate to advanced math skills. Forward thinking skills and ability to challenge rejections and denials.


Benefits:

  • 401(k)
  • 401(k) matching
  • Paid time off

Supplemental pay types:

  • Bonus pay

Education:

  • High school or equivalent (Required)

Experience:

  • ICD-10: 3 years (Required)
  • CPT coding: 3 years (Required)
  • MEDICAL BILLING: 3 years (Required)
  • ASC BILLING: 3 years (Preferred)
  • Experience using SIS Complete (Preferred)

License/Certification:

  • CCS/CPC-EQUIVALENT (Preferred)

Work Location: Clarkston, Michigan

Work Remotely: No

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