Medical Billing/Business Office Rep

Surgery Partners•Milwaukee, WI

9d•Onsite

About The Position

The Business Office Representative supports the financial and operational functions of a small physician's office by coordinating third-party billing and processing business-office payments. The role focuses on improving efficiency, ensuring accurate billing and collections, and supporting day-to-day 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 role involves frequent interaction with patients, staff, and providers and is primarily sedentary, with computer-based tasks. The position is full-time, Monday through Friday.

Requirements

High school diploma or equivalent.
At least three years of administrative and clerical experience in a healthcare office setting, including medical billing.
Excellent customer service skills.
Understanding of physician-office workflows and revenue-cycle processes.
At least two years of Accounts Receivable experience.
Well-developed skills in medical insurance coordination, eligibility verification, and benefits administration.
Ability 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.
Orthopedic and pain management billing experience.

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.
Prepare weekly and monthly reports on accounts pending diagnoses and late charges.
Perform insurance follow-up procedures.
Perform assigned clerical and administrative duties and complete daily business-office work activities in a timely manner.
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 about insurance verification and authorization.
Escalate financial-clearance risks as appropriate and 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 and obtain payment before services when applicable.
Create a positive patient experience through polite, compassionate, and professional interactions.
Provide cross-coverage and training for other team members when needed.
Maintain productivity and quality performance expectations.
Meet regular attendance requirements and ongoing competency requirements for the role.
Perform other assigned duties, tasks, and responsibilities.