Billing Representative Clerk - Sand Lake Surgicenter
Company: SCA Health
Location: Orlando
Posted on: October 2, 2024
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Job Description:
Billing Representative Clerk - Sand Lake
SurgicenterJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTMLOrlando,
United StatesSand Lake SurgicenterBillingRegularFull-time1USD
$16.00/Hr.USD $28.90/Hr.35209 Job Description OverviewToday, SCA
Health has grown to 11,000 teammates who care for 1 million
patients each year and support physician specialists holistically
in many aspects of patient care. Together, our teammates create
value in specialty care by aligning physicians, health plans and
health systems around a common goal: delivering on the quadruple
aim of high-quality outcomes and a better experience for patients
and providers, all at a lower total cost of care. As part of Optum,
we participate in an integrated care delivery system that enables
us to support our partners as they navigate a complex healthcare
environment, Only SCA Health has a dynamic group of
physician-driven, specialty care businesses that allows us to
customize solutions, no matter the need or challenge:We connect
patients to physicians in new and differentiated ways as part of
Optum and with our new Specialty Management Solutions business.We
have pioneered a physician-led, multi-site model of practice
solutions that restores physician agency by aligning incentives to
support growth and transition to value-based care.We lead the
industry in value-based payment solutions through our Global 1
bundled payment convener, that provides easy predictable billing to
patients.We help physicians address everything beyond surgical
procedures, including anesthesia and ancillary service lines. The
new SCA Health represents who we are today and where we are
going-and the growing career opportunities for YOU.
ResponsibilitiesWe 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.
QualificationsHigh school diploma or GED certificatePossess 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 initiativeAbility to
multi-task.Strives to be professional, courteous, helpful and
cooperativeGood computer and typing skillsGood communication
skills, strong emphasis on excellent customer service USD
$16.00/Hr. USD $28.90/Hr.PI5d8d84a8ec71-25660-34796316
Keywords: SCA Health, Town-n-Country , Billing Representative Clerk - Sand Lake Surgicenter, Accounting, Auditing , Orlando, Florida
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