Ambulatory Surgery Center Billing & Collections Representative

Job Title: Ambulatory Surgery Center Billing & Collections Representative

Reports To: Department Supervisor

Position Objective: The representative is responsible for reconciling discrepancies and collecting delinquent accounts. Presents a positive image to always support staff members and patients.

Position Requirements: High School Diploma or Associate's Degree in related field, previous experience in healthcare collection/billing preferred, excellent communication and computer skills, good working knowledge of medical terminology CPT and ICD-10 coding. Ability to maintain good working relationships with all co-workers, patients and general public. Knowledge of state laws and statutes. Understanding of legal process involving medical claims. Understanding and reacting to developing trends in healthcare reimbursements. Ability to work using multiple billing systems.

Detailed Responsibilities:

• Review physician charge sheets, enter appropriate CPT and ICD-10 code to ensure maximum reimbursement.
• Work rejected claims using our Clearinghouse and provider portals
• Posting Payments
• Review patient’s past due statements, research and reconcile outstanding items.
• Maintain account receivable reports.
• Process credit card payments.
• Maintain the accounts receivable within company goals.
• Ability to communicate with employers, insurance companies, attorney offices and patients regarding delinquent accounts.
• Review EOB’s.
• Submit appeals to insurance carriers.
• Verify patients’ insurance.
• Independently compose correspondence.
• Attach the correct implant invoice to claim.
• Computer documentation on status of claim.
• Ability to interface with support departments and articulate issues and concerns.
• Processing mail.
• Interact with a variety of personalities and situations that require tact, judgment, poise and professionalism.
• Maintaining patient confidentiality.
• Organizational responsibilities: promoting patient rights; responding appropriately to emergency situations; sharing problems relating to patients or staff with immediate supervisor in a timely manner.

Physical/Mental Demands: High levels of mental concentration are required. Must handle multiple tasks simultaneously and subject to interruptions. Physical effort requires sitting for long periods of time and repetitive movements consisting of reaching with hands and arms, moderate typing on computer. Manual dexterity, visual acuity, and the ability to speak and hear are required.

First State Orthopaedics reserves the right to revise this job description at any time.

EXPECTATIONS OF ALL EMPLOYEES

• Provide exceptional service to all our patients.
• Exhibit professionalism and ethical behavior at all times.
• Maintain strict confidentiality of patient information and business within the organization’s policies.
• Maintain OSHA and HIPAA regulations.
• Treat everyone with respect, courtesy and friendliness.
• Adhere to all policies and procedures for our organization.
• Communicate recommendations on improvements of policies and procedures to management.
• Participate in committees, discussions and other team functions.
• Provide additional duties as may be assigned.

NOTE: This job description is not intended to be all-inclusive. The above statements are not to be construed as an exhaustive list of all responsibilities, skills or duties, requirements, efforts or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs, or technological developments). This document does no create an employment contract and employment is “at-will”.

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Application Question(s):

• Do you have working knowledge of CPT and ICD-10 coding?
• Do you have at least 1-2 years of experience in medical billing and collections?
• Describe your billing and collections experience with surgical claims, facility fees, or outpatient procedures.

Ability to Commute:

• Newark, DE 19702 (Required)

Work Location: In person

Salary : $18 - $20