Medical 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: 05/22/2019
Status: Full Time
Type: Administrative
City: Bellevue, WA

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.

Job Duties:

Include but are not limited to: 

Billing:

  • Works all identified insurance requirement edits through SurgiSource & Amkai
  • 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 e­billing 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 Non­Covered 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 follow­up 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 re­files 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 follow­up/first contact for insurance claims and subsequent follow­up

How to Apply:

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

 

 



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