Surgical Care Affiliates

Medical Billing Representative

US-CA-Sacramento
Type
Full-Time
# of Openings
1

Overview

SCA owns and/or provides management services to over 200 ambulatory surgery centers, surgical hospitals, and hospital surgery departments, in partnership with approximately 2,800 physicians and in affiliation with 105 health systems. SCA's clinical systems, service line growth strategies, benchmarking processes, and efficiency programs create measurable advantage for surgical facilities – clinically, operationally, and financially. For more information on SCA, visit www.scasurgery.com.

 

The Biller maximizes revenue by submitting accurate primary and secondary insurance claims according to regulatory agencies and payer guidelines; ensuring all implants and supplies are priced and billed accurately, following up on all pended accounts, ensuring contract amounts are correct for all charges entered and correcting rejected claims within electronic claims processing system. The Biller will function within the Center’s policies and procedures, support SCA Values, SCA Vision and SCA Mission.  

 

 

Accountabilities / Responsibilities

    • Obtain the Daily Summary Report (DSR)
    • Pull all the unbilled Charts listed on the DSR
    • Ensure the authorization from the payer has the correct codes as listed on the DSR and date of service is within time frames. Obtain a corrected authorization as needed.
    • Pended accounts - Enter a note in patients account if coding is not complete.
    • For all “complete and ready to bill” cases, input CPT/ICD9/HCPC information from DSR into patient accounting system.
    • Be sure to use correct transaction code for each account based on financial class.
    • Verify all contract amounts are populated, record total charge amount on DSR for balancing.
    • Sequence codes by contract allowable, highest allowable is first according to contract.
  • Balance accounting system reports to coding sheet before posting.

 

  • Claims will be sent ECS and/or Paper as required by payers.
  • Print UB/HCFA’s as required for paper claims and submit to payer with required attachments.
  • Submit ECS claims to payers and fax attachments to payers, as required.

Qualifications

  • High school diploma or equivalent; Associate’s Degree or equivalent from a two-year College or technical school preferred
  • Three – five years’ experience in a medical office, hospital, outpatient surgery center or related field
  • Computer experience, Excel, Word, Medical Billing Software and Applications
  • Working knowledge of Medical Terminology

 

 

 

Please send resumes to aaron.boline@scasurgery.com

2017-3722

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