Medical Billing/Business Office Rep

Surgery Partners, Inc•Milwaukee, WI

9d•Onsite

About The Position

The Business Office Representative supports the financial and operational functions of a small, multi-specialty physician’s office by coordinating third-party billing and processing payments. The role focuses on improving efficiency, ensuring accurate billing and collections, and supporting daily business office operations in a hands-on, fast-paced practice environment. This is an in-person, office-based position at Mayfair Clinic in Wauwatosa, Wisconsin. The work is primarily sedentary and computer-based, with frequent interaction with patients, staff, and providers. The role may involve potential contact with chemicals, blood-borne pathogens, and infectious disease. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Requirements

High school diploma or equivalent required.
At least three years of administrative and clerical experience in a healthcare office setting, including medical billing, required.
At least two years of Accounts Receivable experience required.
Excellent customer service skills.
Understanding of physician office workflows and revenue cycle processes.
Well-developed skills in medical insurance coordination, eligibility verification, and benefits administration.
Able to read, write, and communicate in English.
Cognitive skills for math and decision-making, and excellent communication skills.

Nice To Haves

Associate’s degree in office administration or a related field preferred.
Orthopedic and pain management billing experience highly desirable.

Responsibilities

Perform duties related to the business office’s insurance billing function.
Complete accurate and timely insurance verification.
Process patient, insurance, and other payments as directed.
Prepare weekly and monthly reports on third-party billings, accounts pending diagnoses, and late charges.
Perform insurance follow-up procedures.
Complete assigned business office activities daily and in a timely manner.
Perform specified clerical or administrative duties as assigned.
Maintain office equipment, including cleaning, maintenance, and repairs as needed.
Answer phones, sort and distribute mail, and prepare documents.
Maintain office files and implement an efficient filing system for other staff.
Ensure services scheduled by outside providers have payer- and procedure-required authorization before service.
Communicate with patients, insurers, and other appropriate parties regarding insurance verification and authorization.
Escalate financial clearance risks in compliance with the Financial Clearance Program.
Refer underinsured or uninsured patients, and patients requiring point-of-service prepayment, to the appropriate patient financial responsibility or financial assistance teams to assess eligibility for assistance and obtain payment before services when applicable.
Provide a polite, compassionate, and professional patient experience.
Provide cross-coverage and training for other team members when needed.
Meet productivity and quality performance expectations.
Maintain regular attendance and meet ongoing role competency requirements.
Perform other duties, tasks, and responsibilities as assigned.