Billing SpecialistPrint

Job Summary

Overlake Ambulatory Surgery Center a division of Proliance surgeons, Inc., in Bellevue, WA, is looking for a driven detail oriented medical billing specialist to join our team!

Job Description

Posted: 05/12/2017
Status: Full Time
Type: Administrative
City: Bellevue, WA

General Summary of Duties: 

This position contributes to the company by handling various business office functions, including: billing, cash posting, chart preparation, cash posting, collections, insurance verification, medical records, patient registration, and scheduling. 

 

Duties include but are not limited to: 

  • Billing:
    • Works all identified insurance requirement edits through SurgiSource
    • Reviews the insurance contract profiles in SurgiSource to ensure the system is making appropriate adjustments based on the procedure and type of reimbursement
    • Works with electronic billing vendor to resolve any e-billing issues, denied claims, etc.
    • Generates and processes all insurance claims
    • Researches required information and maintains pending follow up on a daily/weekly basis
    • Communicates daily information needed for billing
    • Prints appropriate billing forms and forwards them to the insurance carrier.
    • Prints statements to patients for balances due, and if information is available, bills secondary Insurance carrier
    • Inputs charges to create claims in SurgiSource
    • Sends electronic insurance claims to clearinghouse (Greenway)
    • Reconciles Batch report and Billed insurance report
    • Reconciles Billed insurance report with Greenway Batch report
    • Maintains daily tasks with Greenway current
    • Reviews Greenway online errors. Makes appropriate corrections and resubmits claims
    • Reviews Greenway messages and updates DBS if needed
    • Maintains weekly error log and Non-Covered Procedure logs
  • Collections:
  • Performs follow up activities timely on all accounts to ensure prompt payment
  • Maintains daily queue on desktop
  • Identifies coding or billing problems from EOBs and works to correct the errors in a timely manner
  • Prepares accounts for rebilling and for filing secondary insurance; sends to carrier with necessary documents, as needed
  • Completes filing and follow-up on insurance denials with coder and physicians to obtain reimbursement
  • Updates the patient account record to identify actions taken on the account
  • Updates SurgiSource and re-files claims, as required
  • Assigns Bad Debt accounts to Collection Agency as approved by DBS
  • Completes the reconciliation of accounts that are turned over to outside agencies
  • Notifies DBS/Administrator of contractual issues that are contrary or inconsistent with contract language
  • Negotiates payment plans on self-pay accounts utilizing established policies regarding Settlement Discounts
  • Responsible for achieving and maintaining accounts receivable days
  • Responsible for the reduction and maintenance of bad debt
  • Follows Best Practices regarding initial follow-up/first contact for insurance claims and subsequent follow-up

How to Apply:

If interested in applying, please email your cover letter and resume through the form below or email to j.miller@proliancesurgeons.com

  • Use subject "Billing Specialist" as the subject


Apply Now

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