Surgical Care Affiliates

Billing Representative Clerk (FT) - Laguna Niguel Surgery Center

Job Locations US-CA-Laguna Hills
# of Openings
1
Category
Other
System ID
21075
Telecommute
No
Employee Type
Regular
Employee Status
Full-time
Group Name
TGS

Overview

Surgical Care Affiliates (SCA) is transforming specialty care in our communities. We relentlessly create value by aligning physicians, health plans and health systems around a common goal: delivering exceptional care and healing to our patients and communities we serve. We are driven to achieve the quadruple aim in health care: high quality outcomes and a better experience for patients and providers, all at a lower total cost of care. As a national leader in surgical care, SCA’s 11,000 teammates operate more than 260 surgical facilities that serve over 1 million patients per year. For more information on SCA, visit www.scasurgery.com.

 

Why join SCA? Consider the following fantastic benefits…

  • Positive work culture
  • Career growth opportunities
  • Comprehensive medical, vision and dental insurance – eligible on Day 1 of employment
  • Paid time off plus 8 paid holidays
  • Maternity/paternity/adoption benefits
  • Employer-paid life and short- and long-term disability insurance
  • Excellent 401(k) Plan

Accountabilities / Responsibilities

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.

  • 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.

Qualifications

  • 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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