Medical Biller

Medical Billing & Coding

*** Must have 3 plus years of experience in billing***

Job Description:

Surgicare of Westside, LLC is currently seeking a skilled and motivated Facility Medical Biller/Claim Follow-Up Specialist to join our team at our Outpatient Ambulatory Surgery Center facility. We are a state-of-the-art medical center dedicated to providing high-quality healthcare services to our patients. If you have a strong background in medical billing and claim follow-up, we invite you to apply and become part of our dynamic healthcare team.

Responsibilities:
Perform medical billing duties, including coding and submitting claims to insurance companies and government agencies accurately and in a timely manner. Follow up on submitted claims, monitor payment status, and address any denials or discrepancies to ensure maximum reimbursement.

Utilize various medical billing software and electronic health record systems efficiently. Resolve billing inquiries from patients, insurance companies, and other stakeholders in a courteous and professional manner.

Verify insurance eligibility and benefits for patients prior to their surgeries and appointments.

Review and reconcile patient accounts, identifying and resolving billing issues promptly. Collaborate with other departments, such as the Physicians’ offices, front office and clinical staff, to ensure accurate and complete billing information. Stay updated with current coding guidelines, insurance regulations, and industry changes to ensure compliance with billing practices. Prepare and submit appeals for denied claims and track their progress until resolution. Maintain strict patient confidentiality and adhere to HIPAA regulations in all aspects of work.

Other duties as assigned by manager

Skills:
·Proven work experience as a Facility Medical Biller or coding specialist (or in another healthcare billing field)
· Knowledge of medical terminology, coding guidelines, CPT codes, ICD-10 codes, Medicare regulations, and insurance coverage requirements
· Familiarity with EMR or other billing software (SIS Complete) preferred but not required.

. Excellent attention to detail and accuracy in data entry and claim submissions. Strong analytical and problem-solving skills to handle claim denials and discrepancies effectively. Exceptional communication skills, both verbal and written, with the ability to communicate professionally with patients, insurance companies, and colleagues. Ability to work independently, prioritize tasks, and manage time efficiently. Understanding of HIPAA regulations and the importance of patient privacy and confidentiality. A positive attitude and a team player mindset.

Job Type: Full-time

Pay: $25.00 - $35.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• ICD-10: 3 years (Preferred)

Work Location: In person