Surgical Care Affiliates

Medical Billing Specialist

Job Location US-KY-Louisville
Type
Full-Time
# of Openings
1

Overview

SCA, a leader in the outpatient surgery industry, strategically partners with health plans, medical groups and health systems across the country to develop and optimize surgical facilities. SCA operates more than 200 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 3,000 physicians. For more information on SCA, visit www.scasurgery.com.

 

Facility Description:

At Premier Surgery Center, we are committed to providing outstanding care to adults and pediatric patients. Quality, Safety, Commitment and Satisfaction are our goals!

Premier Surgery Center of Louisville was created for the convenience of the patient with high quality and efficient service and minimal wait times. Our experienced staff at Premier Surgery Center provides reassurance, personal attention, and high quality care to patients and families.

Accountabilities / Responsibilities

Responsible for billing of services provided in an ambulatory surgery setting (GI, general surgery, oral surgery, colorectal surgery, plastic surgery, pain management, and podiatry). Responsible for posting payments and preparing deposits on a daily basis. Working aged receivable reports to identify errors, work claims, call insurance companies and post adjustments when necessary.


Answer incoming calls from payers, patients/patient's family, and field staff about account inquiries. Working over-payment report by identifying refunds due to patient or insurance company and process request. Review patient bills for accuracy and completeness and obtain any missing information. Prepare, review and transmit claims to include electronic and paper claim processing.
Check each insurance payment for accuracy and compliance. Research and appeal denied claims.
Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and company policy.

Key Responsibilities:

  • Answer incoming calls from payers, patients/patient's family, and field staff about account inquiries.
  • Working over-payment report by identifying refunds due to patient or insurance company and process request.
  • Review patient bills for accuracy and completeness and obtain any missing information.
  • Prepare, review and transmit claims to include electronic and paper claim processing.
    Check each insurance payment for accuracy and compliance.
  • Research and appeal denied claims.
  • Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and company policy.

Qualifications

  • High school diploma or GED
    Knowledge of business and accounting process.
  • 2+ years in a medical office setting.
  • 2+ years of HMO/PPO, Medicare and Medicaid, and other payer requirements and systems required.
  • 2+ years of accounting and bookkeeping procedures required.
  • 2+ years of medical terminology required.
  • Use of computer systems, software and calculator.
  • Effective communication abilities for phone contacts with insurance payers to resolve issues.
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
  • Able to work in a team environment.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals and collections.
  • Reacts positively to change and performs other duties as assigned.
  • Any offer of employment is conditional upon the successful completion of a background investigation to include criminal and credit and drug screen.

Please send resumes to:Tiffany.Brock@scasugery.com

2018-3999

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