- We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
- We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
- We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
- We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.
- Possess knowledge of typing, word processing, spreadsheet preparation, and computer billing systems.
- CPT & ICD 10 knowledge.
- Daily transmittal to Coding Team of H&Ps, Operative Reports, & any other correspondence required to accurately code cases.
- Accurately bill CPT Codes, implants, and supplies per the UBO's Billing Protocols.
- Ability to accurately calculate implant, supply, and pharmaceutical implant mark-up and reimbursement.
- Submitting accurate primary & secondary insurance claims to insurance providers following agency and payer guidelines.
- Performing accurate Time of Billing adjustments for procedures, implants, and supplies based on the appropriate contract.
- Knowledge of multiple insurance contracts, Medicare, and W/C Fee Schedule.
- Responsible for daily reconciliation of charges posted (Daily Summary Report, Open Transaction Report, & Daily Posting Report) and uploading these documents to SharePoint.
- Manages unbilled cases by providing ample notes in PAS and reporting to Business Office Manager on a weekly basis what is required to bill.
- Verifies and resolves all rejections in electronic claim clearinghouse, prepares and mails UB claims, and gathers appropriate medical records to send with claims sent via mail.
- Participates in any other business office functions as needed and at the direction of the Business Office Manager.
- High school diploma or GED certificate
- Possess basic knowledge of medical terminology.
- Possess knowledge of health insurance billing.
- Possess knowledge of typing, word processing, spreadsheet and computer billing systems.
- Ability to handle confidential information.
- Ability to work independently and as a self-starter with a high level of initiative
- Ability to multi-task.
- Strives to be professional, courteous, helpful and cooperative
- Good computer and typing skills
- Good communication skills, strong emphasis on excellent customer service
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Billing Representative Clerk - Port Saint Lucie, United States - Surgery Care Affiliates
Description
Overview
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.
delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.
As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:
The new SCA Health represents who we are today and where we are going-and the growing career opportunities for YOU.
We are seeking a Full Time experienced ASC Biller who is a reliable, detail-oriented, takes initiative, is a skilled problem solver, self-directed and able to work independently, and who has a positive and cooperative work ethic Possess basic knowledge of medical terminology and health insurance billing.
