ASC - Biller/Coder

AFFINITY GASTROENTEROLOGY ASC-posted 12 months ago
Part-time • Entry Level
Birmingham, AL
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The Biller/Coder position at Affinity Gastroenterology ASC is a part-time role focused on preparing and submitting claims to third-party payers and managing accounts receivables. The role requires knowledge of medical coding and billing compliance regulations, ensuring accurate claim submissions and follow-ups to maintain financial health within the organization.

  • Process claims daily and provide all required attachments as appropriate.
  • Submit all primary, secondary, and tertiary claims electronically to the clearinghouse.
  • Correct unbilled claim edits to ensure claims are finalized.
  • Understand and abide by all CMS billing compliance regulations.
  • Understand ICD9/10 and CPT/HCPCS coding, CCI edits, and APC's as well as third-party payor billing requirements.
  • Append bilateral, multiple procedure, and special requirement modifiers appropriately.
  • Verify accuracy of insurance payments and adjustments received/posted.
  • Follow up on insurance claims within 30 days for commercial payors and 21 days for government payors.
  • Respond to all billing-related inquiries and interact with patients as needed.
  • Print and mail patient statements on a monthly basis.
  • Review outstanding patient A/R on a weekly basis and manage accounts over 90 days with no payment.
  • Submit refund requests with supporting documentation to the manager.
  • Assist and back up other business office positions as needed.
  • Answer telephone inquiries and return calls in a courteous and timely manner.
  • High school diploma or GED certificate required.
  • Minimum of 1 year billing experience required.
  • Minimum of 1 year accounts receivables experience required.
  • Surgery center/hospital/medical office experience preferred.
  • Major medical, dental, and vision insurance
  • 401(k)
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