- Process claims daily, provide all required attachments as appropriate
- Submits all primary, secondary, and tertiary claims electronically to the clearinghouse
- Corrects unbilled claim edits as appropriate to ensure claims final bill
- Understands and abides by all CMS billing compliance regulations
- Understands ICD9/10 and CPT/HCPCS coding, CCI edits, APC's as well as third party payor billing requirements
- Appends bilateral, multiple procedure, and special requirement modifiers appropriately
- Verifies accuracy of insurance payments and adjustments received/posted
- Follow-up on insurance claims within 30 days of billing for commercial, 21 days for government payors
- Respond to all billing related inquiries and interact with patients when required to bring account to closure
- Print and mail patient statements on a monthly basis
- Reviews outstanding patient A/R on a weekly basis. Patient account balances of more than 90 days with no payment will be reviewed with manager and turned over to collections
- Submit refund requests with supporting documentation to manager
- Assists and backs up other business office positions as needed
- Answers telephone, questions, and returns calls in a courteous timely manner
- Performs additional duties as assigned or requested
- High school diploma or GED certificate
- Surgery center/hospital/medical office experience preferred
- Minimum of 1 year billing experience required
- Minimum of 1 year accounts receivables required
- Major medical, dental, and vision insurance
- Paid time off
- 401(k)
-
Billing Representative Clerk
1 week ago
Surgical Care Affiliates Birmingham, United StatesOverview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and healt ...
-
Billing Representative Clerk
1 week ago
Surgery Care Affiliates Birmingham, United StatesOverview · Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and hea ...
-
Billing Representative Clerk
21 hours ago
SCA Health birmingham, United Statesb>Billing Representative Clerk - Birmingham Outpatient Care CenterJOB_DESCRIPTION.HTMLCAROUSEL_PARAGRAPH · JOB_DESCRIPTION.HTMLBirmingham, Alabama · Birmingham Outpatient · Billing · Regular · Full-time · 1 · USD $; · 33707 · Job Description Overview · Today, SCA Health has grown ...
-
Billing Representative Clerk
3 weeks ago
SCA Health Birmingham, United StatesOverview: · Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and h ...
-
Billing Representative Clerk
1 day ago
SCA Health Birmingham, United StatesBilling Representative Clerk - Birmingham Outpatient Care Center · JOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPH · JOB_DESCRIPTION.SHARE.HTMLBirmingham, Alabama · Birmingham Outpatient · Billing · Regular · Full-time · 1 · USD $19.00/Hr. · USD $25.00/Hr. · 33707 · Job Description ...
-
Billing Representative Clerk
1 day ago
SCA Health Birmingham, United StatesBilling Representative Clerk - Birmingham Outpatient Care Center · JOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPH · JOB_DESCRIPTION.SHARE.HTMLBirmingham, Alabama · Birmingham Outpatient · Billing · Regular · Full-time · 1 · USD $19.00/Hr. · USD $25.00/Hr. · 33707 · Job Description ...
-
Billing Representative Clerk
13 hours ago
SCA Health Birmingham, United StatesJob Description · Job DescriptionBilling Representative Clerk - Birmingham Outpatient Care CenterJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPH · JOB_DESCRIPTION.SHARE.HTMLBirmingham, Alabama · Birmingham Outpatient · Billing · Regular · Full-time · 1 · USD $19.00/Hr. · USD $25.00/ ...
ASC - Biller/Coder - Birmingham, United States - Grandview Medical Center
Description
The primary function of this position is to prepare and submit claims and statements to third-party payers and guarantors. Responsible for certain coding functions and maintaining accounts receivables. Full time days
Essential Duties and Responsibilities include the following. Other duties may be assigned.
At Grandview Medical Center, we believe in the power of great people and a team approach to make a difference in the health and well-being of the people and communities we serve. Compassion, a commitment to excellence, a safe environment, and opportunities for personal growth define our culture. Whether you work with patients every day or support those who do, you can make an impact by being a part of our team.
Grandview Medical Center provides equal employment opportunity to all employees and applicants for employment regardless of any individual's race, color, religion, sex, sexual orientation, gender identity, national origin, age, citizenship, military status, disability, genetic information or any other protected class status in accordance with applicable federal, state, and local laws.