Description:The Advanced Center for Surgery
is a busy, multispecialtyambulatory surgery center in Vero Beach, performing outpatient procedures in Orthopedics and Neurology.We are an affiliate of United Surgical Partners International, who provides first-class surgical services for local communities. USPI's mission is tocare foreach patient and every family as if they were our own. Each patient, each family, each and every time. If you share our mission, please reach out to discuss joining our team.
We are currently searching for a Billing Specialist to join our team. We are looking for a top performer with previous experience and knowledge of billing, reimbursement, and payment posting.This is a fast paced environment committed to producing the highest quality work for our surgery center. The ideal candidate will be a hard working, motivated individual who is personable and courteous. We are looking for a competent Biller toperform billing and payment data entryon outpatient surgery claims. The Biller is responsible for performing all billing and payment posting related duties on patient accounts. This position is expected to be knowledgeable of the specific provisions in the managed care contracts as they relate to billing/reimbursement. Individual shall be knowledgeable of the most current coding guidelines and carrier reimbursement policies.After patient transactions have been properly coded, create billing batches. Review information from the patient's file on system chart. Verify insurance coverage. Bill per procedure and appropriate contract. Verify procedures and check modifiers. Write off per USPI policy and surgery center guidelines. Calculate correct fee and process billing transactions. Print bills. Post billings. Send bills.
Performs a variety of Medical Records duties such as chart analysis, billing, audits, and data entry. Key patient, insurance, and all other types of payments into the patient accounting system. Review and verify allowable per EOBs and adjust accordingly per insurance contracts.Month end cash balancing. Adjudicating secondary/tertiary claims. Identify patient and insurance refund situations and set up for reimbursement, if applicable.
Experience billing in a surgical environment a plus!
WORKING CONDITIONS: Working environment is representative of the essential functions of the job. Physical demands require employee to sit and answer the phone for extended periods of time. Reasonable accommodations may be made to enable individuals to perform essential functions.Required Skills:
Requirements Qualification Requirements:
- High School Diploma or equivalent.
- Excellent communication skills using proper grammar.
- Minimum 2 years of billing experience.
- Familiar with patient accounting software, especially AdvantX.
- Ability to read and understand insurance explanations of benefits and managed care contracts
- Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook.
Vero Beach, Florida
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