Biller - Oakland, United States - Oakland CA Endoscopy ASC LP

Description

***: Underneath the supervision of the Center Leader or Office Manager, responsible for areas such as insurance verification, scheduling of surgical procedures, billing/coding/accounts receivable, accounts payable records or transcription of operative procedures. Promotes a favorable image of the Center to physicians, patients, insurance companies, and the general public.


QUALIFICATIONS:

• High School Diploma or GED
• One (1) year of experience, preferably in an Ambulatory Surgery Center (ASC)
• Experience in Endoscopy/Multispecialty/Ophthalmology/ASC
• Ability to speak and understand the English language
• Strong ethical and moral character references
• Basic computer skills

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Strong knowledge of ICD 10
• Strong knowledge of CPT (certification preferred not required)
• Maintains all claim records
• Reviews and appeals denied and unpaid claims
• Analyzes, enters, and manipulates database
• Follows up on all outstanding payer rejections
• Balances and reconciles month end reports
• Communicates with the corporate accounting department regarding outstanding items
• Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations
• Manages proper submission of all documents in a timely fashion
• Attends inservices, seminars, and webinars for additional education and performance improvement
• Submits claims to insurance companies for payment
• Verifies patients' insurance coverage
• Manages collections and unpaid accounts by establishing payment arrangements with patients, monitoring

payments, and following up with patients if or when there is a lapse in payment

• Works directly with the insurance company, the patient, and the healthcare provider, to get a claim

processed and ultimately paid

• Manages the facility's Account Receivable reports
• Answers any questions patients may have about billing
• Manages the relationship with collection agencies
• Ensures that collection agencies are managing the ASC's accounts in a compliant manner and reporting

discrepancies to the Business Operations contact

• Contacts insurance companies regarding any discrepancies in payments
• Submits secondary billing in a timely manner with appropriate supporting documentation
• Reviews patient accounts for accuracy and completeness and obtain any missing information
• Demonstrates courtesy and helpfulness toward patients and their families
• Attends all required education
• Regular and predictable attendance
• Performs other duties as assigned

Must pass a background check and drug screen.


We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.

We are an equal opportunity employer
**#LI-AE1