What are the responsibilities and job description for the Billing Representative position at KU MedWest Ambulatory Surgery?
SUMMARY DESCRIPTION
The Billing Representative is responsible for submitting accurate primary and secondary insurance claims according to regulatory agencies and payer guideline; ensuring all implants and supplies are priced and billed accurately, following up on all pended accounts, ensuring contract amounts are correct for all charges entered and correcting rejected claims within electronic claims processing system.
RESPONSIBILITIES
Accurately bill CPT codes and implants per billing protocols.
Accurately calculate implant mark-up and reimbursement.
Submit timely and accurate primary and secondary insurance claims following agency and payer guidelines.
Perform accurate Time of Billing adjustments for procedures and implants based on the appropriate contract.
Manage unbilled cases
Verify and resolve all rejections in electronic claim clearinghouse.
Participate in any other business office functions as needed and at the direction of the Business Office Manager
KNOWLEDGE, SKILLS, and ABILITIES
1. Ability to take ownership and leads by example.
2. Ability to contribute in a cross-functional collaborative environment.
3. Ability to learn quickly and work independently.
4. Self-motivated with the attitude and ability to be successful as part of a team.
REQUIREMENTS
1. High School diploma of equivalent
2. Associate degree or equivalent from a two-year college or technical school preferred
3. Three-five years’ experience in a medical office, hospital, outpatient surgery center or related field
4. Computer experience, Excel, Word, Medical Billing Software and applications
5. Working knowledge of medical terminology
The Billing Representative is responsible for submitting accurate primary and secondary insurance claims according to regulatory agencies and payer guideline; ensuring all implants and supplies are priced and billed accurately, following up on all pended accounts, ensuring contract amounts are correct for all charges entered and correcting rejected claims within electronic claims processing system.
RESPONSIBILITIES
Accurately bill CPT codes and implants per billing protocols.
Accurately calculate implant mark-up and reimbursement.
Submit timely and accurate primary and secondary insurance claims following agency and payer guidelines.
Perform accurate Time of Billing adjustments for procedures and implants based on the appropriate contract.
Manage unbilled cases
Verify and resolve all rejections in electronic claim clearinghouse.
Participate in any other business office functions as needed and at the direction of the Business Office Manager
KNOWLEDGE, SKILLS, and ABILITIES
1. Ability to take ownership and leads by example.
2. Ability to contribute in a cross-functional collaborative environment.
3. Ability to learn quickly and work independently.
4. Self-motivated with the attitude and ability to be successful as part of a team.
REQUIREMENTS
1. High School diploma of equivalent
2. Associate degree or equivalent from a two-year college or technical school preferred
3. Three-five years’ experience in a medical office, hospital, outpatient surgery center or related field
4. Computer experience, Excel, Word, Medical Billing Software and applications
5. Working knowledge of medical terminology
