Accounts Receivable Biller

Surgery Partners Careers•Wichita, KS

5d•Onsite

About The Position

Responsible for timely billing, internal review process, and insurance functions in an ASC Setting. This role involves managing appeals, payment arrangements, posting adjustments, entering charges and credits, filing claims, reviewing explanations of benefits, following up on unpaid claims, and utilizing various billing systems. The position also includes handling patient calls, documenting account activity, and collaborating with colleagues and management. Participation in quality assessment activities is expected.

Requirements

High school diploma or equivalent required.
Two years of previous experience with accounts receivable, billing, and insurance required.
Computer skills, basic office skills, and knowledge of medical terminology required.
Must be able to read and speak English fluently.
Requires cognitive skills for math, reading, computer skills, and communication skills to interact effectively with the public and peers.
Vision requirements: near, mid-range, far, and accommodation.
Hearing requirements: low, medium, and high-pitched sounds.

Responsibilities

Files appeals timely on underpaid or denied accounts with a good understanding of medical necessity guidelines specific to procedures.
Effectively makes payment arrangements with patients for timely resolution of balances, following self-pay policy.
Posts write-offs, account adjustments, and corrections daily to patient accounts.
Enters and reconciles all charges and credits to patient accounts.
Files electronic and/or paper insurance claims daily.
Reviews each Explanation of Benefits received with payments to verify determination of payment to the facility has been reimbursed correctly and begins the appeal process as necessary.
Reviews the status of assigned accounts for unpaid claims and follows up appropriately with insurance companies or patients.
Uses or has knowledge of how to appropriately use the Medicare FISS system, Medicaid system, and HLT and Waystar system for billing and claims inquiry.
Uses time effectively and productively, eliminating distractions.
Works insurance aging effectively and timely to meet department goals.
Assists the Patient Service Manager with reports or other projects as requested.
Handles phone calls from assigned accounts regarding account balances or insurance filings.
Documents concisely, precisely, and accurately on records or documents as indicated by policy.
Communicates effectively and works cooperatively and professionally with all co-workers, management, patients, visitors, physicians, and others.
Demonstrates work as a team player.
Participates in Quality Assessment activities as directed for the continuous improvement of patient care and hospital business.
Performs other duties as assigned.
Actively supports and upholds the mission and core values of the hospital.
Remains knowledgeable of and follows the policies of the hospital.
Maintains patient and hospital confidentiality at all times.
Keeps the Manager apprised of day-to-day situations.