Surgical Care Affiliates

  • Biller, Collector, & Payment Poster

    Job Location US-CA-San Diego
    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 210 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 7,500 physicians. For more information on SCA, visit www.scasurgery.com.

     

    Facility Description:

     Our dynamic team of highly qualified professionals handle all Revenue Cycle related activities for three Ambulatory Surgery Centers caring for patient specialties including (but not limited to): Orthopedic, Ophthalmology, Pain Management, Gastroenterology, Otolaryngology, Plastic & Reconstructive Surgery, and Urology.  This billing office is dedicated to providing exceptional service to our patients, teammates, physicians, and partners.

    Accountabilities / Responsibilities

    Key Responsibilities:

     

    Biller:

    • CPT & ICD 10 knowledge.
    • Daily retrieval and upload of implant and supply log to Coding Team.
    • 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.
    • Submitting accurate primary & secondary insurance claims to insurance providers following agency and payer guidelines.
    • Performing 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.
    • Participates in any other business office functions as needed and at the direction of the Business Office Manager.

    Collector / Payment Poster:

    • Responsible for entering insurance payments, patient payments, contractual adjustments, and refunds in the Patient Accounting System (PAS) in an accurate and timely manner.
    • Responsible for monitoring EOBs for correct reimbursement and correlating contractual write off amounts to payer contracts
    • Knowledge of multiple insurance contracts, Medicare, and W/C Fee Schedule
    • Responsible for balancing the daily reconciliation of patients receipts and daily deposits to dollars posted in the PAS.
    • Responsible for maintaining an orderly filing system for hard copy/electronic copy deposits and balanced transaction reports from the billing system to support payments and adjustments posted.
    • Responsible for handling patient account inquires timely and courteous manner.
    • Reports any unresolved patient complaints and payer issues to the Business Office Manager.
    • Responsible for handling contracted HMO, PPO, EPO, POS, WC, Self-Pay, and Third Party reimbursement issues.
    • Independently researches denied claims, creating appeals, second level reimbursement issues, denied procedures & implants, and outstanding Accounts Receivables daily to make sure the Business Office benchmarks are met.
    • Participates in any other business office functions as needed and at the direction of the Business Office Manager.

    Qualifications

    • High School Diploma
    • 1+ Year Experience in a Medical Office, Hospital, or Ambulatory Surgery Center
    • Computer Experience: Microsoft Office Suite, Billing Software, & Patient Accounting Systems
    • Working knowledge of Medical Terminology, CPT Codes, & ICD 10

    Please send resumes to Benjamin.Woodward@scasurgery.com and Deann.Wood@scasurgery.com

    2019-5010

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