Billing Representative Clerk

1 month ago

Ocala, Florida, United States SCA Health Full time
About SCA Health

SCA Health is a dynamic organization that has grown to 11,000 teammates who care for 1 million patients each year. We support physician specialists holistically in many aspects of patient care, creating value in specialty care by aligning physicians, health plans, and health systems around a common goal: delivering high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.

Our Mission

We participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment. Our dynamic group of physician-driven, specialty care businesses allows us to customize solutions, no matter the need or challenge.

Job Summary

We are seeking a Full Time experienced ASC Biller who is a reliable, detail-oriented, takes initiative, is a skilled problem solver, self-directed, and able to work independently. The ideal candidate will possess basic knowledge of medical terminology and health insurance billing, as well as knowledge of typing, word processing, spreadsheet preparation, and computer billing systems.

Responsibilities
  • Possess knowledge of CPT & ICD 10 codes.
  • Daily transmittal to Coding Team of H&Ps, Operative Reports, & any other correspondence required to accurately code cases.
  • Accurately bill CPT Codes, implants, and supplies per the UBO's Billing Protocols.
  • Ability to accurately calculate implant, supply, and pharmaceutical implant mark-up and reimbursement.
  • Submitting accurate primary & secondary insurance claims to insurance providers following agency and payer guidelines.
  • Performing accurate Time of Billing adjustments for procedures, implants, and supplies based on the appropriate contract.
  • Knowledge of multiple insurance contracts, Medicare, and W/C Fee Schedule.
  • Responsible for daily reconciliation of charges posted (Daily Summary Report, Open Transaction Report, & Daily Posting Report) and uploading these documents to SharePoint.
  • Manages unbilled cases by providing ample notes in PAS and reporting to Business Office Manager on a weekly basis what is required to bill.
  • Verifies and resolves all rejections in electronic claim clearinghouse, prepares and mails UB claims, and gathers appropriate medical records to send with claims sent via mail.
Qualifications
  • High school diploma or GED certificate.
  • Possess basic knowledge of medical terminology.
  • Possess knowledge of health insurance billing.
  • Possess knowledge of typing, word processing, spreadsheet, and computer billing systems.
  • Ability to handle confidential information.
  • Ability to work independently and as a self-starter with a high level of initiative.
  • Ability to multi-task.
  • Strives to be professional, courteous, helpful, and cooperative.
  • Good computer and typing skills.
  • Good communication skills, strong emphasis on excellent customer service.

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