Medical Biller

Surgery Partners Careers•Encino, CA

About The Position

Key Responsibilities: Prepare and submit accurate claims to insurance carriers (electronic and paper) for ASC procedures. Review operative notes to ensure correct CPT, HCPCS, and ICD-10 coding. Understand Insurance contracts and bill for Implants as needed If needed able to verify insurance eligibility and benefits prior to billing. If needed follow up on unpaid or denied claims, including appeals and resubmissions. Maintain compliance with HIPAA, payer guidelines, and ASC-specific regulations. Collaborate with surgeons, schedulers, and insurance verification staff to ensure accurate and timely claim submission. Qualifications: Minimum 2 years of medical billing experience (ASC or surgical billing preferred). Proficiency in CPT, HCPCS, ICD-10 coding, and modifier usage for surgical claims. Knowledge of Medicare, commercial, and managed care billing requirements. Strong organizational, problem-solving, and communication skills. Experience with practice management and clearinghouse software. Ability to work independently and in a team-oriented environment. Benefits: Comprehensive health, dental, and vision insurance Health Savings Account with an employer contribution Life Insurance PTO 401(k) retirement plan with a company match And more! Equal Employment Opportunity & Work Force Diversity Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

Requirements

Minimum 2 years of medical billing experience (ASC or surgical billing preferred).
Proficiency in CPT, HCPCS, ICD-10 coding, and modifier usage for surgical claims.
Knowledge of Medicare, commercial, and managed care billing requirements.
Strong organizational, problem-solving, and communication skills.
Experience with practice management and clearinghouse software.
Ability to work independently and in a team-oriented environment.

Responsibilities

Prepare and submit accurate claims to insurance carriers (electronic and paper) for ASC procedures.
Review operative notes to ensure correct CPT, HCPCS, and ICD-10 coding.
Understand Insurance contracts and bill for Implants as needed
If needed able to verify insurance eligibility and benefits prior to billing.
If needed follow up on unpaid or denied claims, including appeals and resubmissions.
Maintain compliance with HIPAA, payer guidelines, and ASC-specific regulations.
Collaborate with surgeons, schedulers, and insurance verification staff to ensure accurate and timely claim submission.