POSITION OBJECTIVE: The Billing Specialist is responsible for the procedure and diagnostic coding of all Center cases and the submission of hard and electronic claims in addition to patient statements. The Billing Specialist will be cross-trained in other functions of the business office and reports directly to the Business Office Manager.

MISSION/VISION STATEMENT: To deliver superior healthcare services through sustained partnerships; our vision is to be the worldwide leader in providing premier, customer-centric healthcare services and solutions; consistently exceeding our customer’s expectations, attracting and retaining the best employees, providing a strong value proposition to our partners and executing our business strategy; we will shape our destiny and ensure the long-term growth, profitability, and sustainability of our company.

DUTIES AND RESPONSIBILITIES:

Correct procedural and diagnostic coding of all procedure services.

Ensures all billable procedures and supplies are captured and submitted to insurance.

Enters, posts and bills charges daily for all cases performed in the Surgery Center.

Generates and submits “CLEAN” paper and electronic claims daily.

Generates and submits (EMC/paper) secondary claims daily as required by individual payers.

Retrieve EMC rejection reports daily. Research and resubmit all rejected claims/payers daily.

Updates corrected patient demographic and insurance information in the billing system.

Generate and process electronic patient statements daily to insure patients are billed in a timely manner.

Ensures completeness of all billing on a daily basis.

Research denied claims, denied procedures and outstanding accounts receivable daily to insure center benchmarks are met.

Forward deficient charts to the Director of Nursing.

Will cross-train to posting payments for back up as needed.

Performs other tasks as assigned by the Business Office Manager.

Will be required to attend seminars for continuing education in coding and billing.

QUALIFICATIONS:

Education:

High school graduate or equivalent

Experience: Minimum of one year coding and billing experience, preferably in an ambulatory surgery business office of an acute care hospital or medical office. Certified coder (CPC) is preferable.

Experience using a medical software billing system. Must be familiar with Windows XP

Job Type: Full-time

Pay: $1.00 - $2.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Work setting:

• Ambulatory surgery center

Work Location: In person