Biller

Surgery Partners•Fisher, TX

About The Position

The Biller is responsible for medical billing and account follow-up, transmitting patient care information, resolving discrepancies, adjusting patient bills, and preparing reports. The role requires proficiency with UB04 and HCFA 1500 electronic and manual billing processes. The Biller communicates professionally, verbally and in writing, and proactively identifies collection trends and resolves them in a timely manner.

Requirements

High school diploma.
At least two years of experience with medical office billing procedures.
Proficiency with UB04 and HCFA 1500 electronic and manual billing processes.
Skills in gathering and reporting claim information and solving utilization problems.
Written and verbal communication and customer relations skills.
Experience working with Windows-based software systems.
Ability to work effectively with medical staff and external agencies.
Ability to identify, analyze, and solve claim issues.
Ability to deal courteously and professionally with internal and external customers.
Knowledge of clinic policies and procedures.
Knowledge of third-party payers; Medicare and Medicaid billing and collections; HCPCS, CPT, and ICD coding.
Knowledge of computer systems, programs, data entry, and spreadsheet applications.
Knowledge of medical terminology, information analysis, collection practices, and governmental, legal, and regulatory provisions related to collection activity.

Nice To Haves

Billing certification preferred.

Responsibilities

Resolve disputed claims by gathering, verifying, and providing additional information, then following up on claims.
Resolve discrepancies by examining and evaluating data and selecting corrective steps.
Maintain work operations by following policies and procedures and reporting compliance issues.
Maintain quality results by following company standards.
Keep job knowledge current by participating in educational opportunities, reading professional publications, and staying current on Medicaid and Medicare billing and reimbursement procedures.
Perform other duties as assigned.