Surgery Partners
Biller/Collector - Not a remote position
Surgery Partners, San Francisco, California, United States, 94199
We are currently seeking a qualified applicant for a full-time Business Office Support position. Under the supervision of the Director of Business Operations, this individual is responsible for assuring all clerical duties are performed accurately with attention to assisting patients, staff, and physicians in a courteous manner. Performs all billing for primary and secondary insurances for location. Interacts with business office staff and facility staff as needed to obtain information necessary to submit a clean claim to insurance carriers.
Primary Duties and Responsibilities Include:Manages collection activities to maximize revenue to assure budgeted EBITDA results are achieved.Account management is performed according to internal and external benchmarks and guidelines
Actively participates in achieving the monthly collection goalsContacts carriers within 25 days to verify claim status and resubmission of claims as necessaryContacts patients as necessary to discuss financial responsibilityTurns over un-collectable accounts within 90 daysKnowledgeable of appeal/denial logs and process correspondence accordinglyUtilizes adjustment and refund journals in accordance with established guidelines
Prepares weekly, monthly and other necessary reports in accordance with deadlines.Analyzes aging and appeal reports and participates in the development and implementation of action plans as needed.Participates in the fiscal management of the facility to assure effective billing, collection, appeals, and accounts payable management, in accordance with benchmarks.Coding and Billing are compliant and tasks are performed within internal and external benchmarks
Medical Records is coded accurately within three days of date of serviceCharges are posted and billed accurately, either electronically or paper within three days of date of service. Performs proper review of the medical record and implants logs to assure appropriate charge capture.Correspondence is reviewed, and actions taken to resolve issues.Verifies the acceptance of electronic claims filings and resolves any issues in a timely manner.Completes month-end tasks in patient accounting software as required.
Requirements:Please be local to San Francisco (REQUIRED)High School diploma, with 3+ years experience in healthcare insurance billing and verification, collections and/or authorizationsTwo or more years experience in billing and collections in a medical setting preferred or comparable educationKnowledge of medical terminologyCPT /HCPCS codesMedical recordsFamiliar with In & Out-of-Network insurance claimsExperience interpreting Explanation of BenefitsBenefits:Comprehensive health, dental, and vision insuranceHealth Savings Account with an employer contributionLife InsurancePTO401(k) retirement plan with a company matchAnd more!Equal Employment Opportunity & Work Force DiversityOur organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
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Primary Duties and Responsibilities Include:Manages collection activities to maximize revenue to assure budgeted EBITDA results are achieved.Account management is performed according to internal and external benchmarks and guidelines
Actively participates in achieving the monthly collection goalsContacts carriers within 25 days to verify claim status and resubmission of claims as necessaryContacts patients as necessary to discuss financial responsibilityTurns over un-collectable accounts within 90 daysKnowledgeable of appeal/denial logs and process correspondence accordinglyUtilizes adjustment and refund journals in accordance with established guidelines
Prepares weekly, monthly and other necessary reports in accordance with deadlines.Analyzes aging and appeal reports and participates in the development and implementation of action plans as needed.Participates in the fiscal management of the facility to assure effective billing, collection, appeals, and accounts payable management, in accordance with benchmarks.Coding and Billing are compliant and tasks are performed within internal and external benchmarks
Medical Records is coded accurately within three days of date of serviceCharges are posted and billed accurately, either electronically or paper within three days of date of service. Performs proper review of the medical record and implants logs to assure appropriate charge capture.Correspondence is reviewed, and actions taken to resolve issues.Verifies the acceptance of electronic claims filings and resolves any issues in a timely manner.Completes month-end tasks in patient accounting software as required.
Requirements:Please be local to San Francisco (REQUIRED)High School diploma, with 3+ years experience in healthcare insurance billing and verification, collections and/or authorizationsTwo or more years experience in billing and collections in a medical setting preferred or comparable educationKnowledge of medical terminologyCPT /HCPCS codesMedical recordsFamiliar with In & Out-of-Network insurance claimsExperience interpreting Explanation of BenefitsBenefits:Comprehensive health, dental, and vision insuranceHealth Savings Account with an employer contributionLife InsurancePTO401(k) retirement plan with a company matchAnd more!Equal Employment Opportunity & Work Force DiversityOur organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
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