ASC - Biller/Coder

AFFINITY GASTROENTEROLOGY ASC • Birmingham, AL

421d

About The Position

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.

Requirements

• 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.

Responsibilities

• 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.

Benefits

• Major medical, dental, and vision insurance
• 401(k)

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED