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Billing Clerk

Company: Surgical Care Affiliates
Location: Orange
Posted on: November 11, 2019

Job Description:

OverviewSCA, a leader in the outpatient surgery industry, strategically partners with health plans, medical groups and health systems across the country to develop and optimize surgical facilities. SCA operates more than 210 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 7,500 physicians. For more information on SCA, visit www.scasurgery.com.??Facility Description:? Barranca Surgery Center is a Multi-Specialty Surgical Center with 2 OR's and 2 GI Suites. We are a state-of-the-art center and are looking for a biller to work out of our Orange Location. A positive attitude and the ability to thrive in a fast paced environment are a must.Accountabilities / ResponsibilitiesWe are seeking a Full Time experienced ASC Biller who isa reliable, detail-oriented, takes initiative, is a skilled problem solver, self-directed and able to work independently, and who has a positive and cooperative work ethic.?Key Responsibilities:?

  • Possess basic knowledge of medical terminology and health insurance billing.
  • Possess knowledge of typing, word processing, spreadsheet preparation, and computer billing systems.
  • CPT & ICD 10 knowledge.
  • 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.
  • Participates in any other business office functions as needed and at the direction of the Business Office Manager.Qualifications
    • 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
    • Must be dependable and reliable
    • Ability to multi-task.
    • Strives to be professional, courteous, helpful and cooperative
    • High school diploma or GED certificate
    • Good computer and typing skills
    • Good communication skills, strong emphasis on excellent customer service
    • Strong ethical and moral character referencesPlease send resumes to?mary.powell@scasurgery.com2019-6213?

Keywords: Surgical Care Affiliates, Orange , Billing Clerk, Other , Orange, California

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