Medical Billing/Business Office Rep

Surgery Partners•Milwaukee, WI

4d•Onsite

About The Position

The Business Office Representative supports the financial and operational functions of a small, multispecialty physician office by coordinating third-party billing, processing payments, and supporting daily business office operations. The role focuses on efficient, accurate billing and collections in a hands-on, fast-paced practice environment. It is an in-person, office-based position at Mayfair Clinic in Wauwatosa, Wisconsin, scheduled full time Monday through Friday.

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.
Ability to read, write, and communicate in English.
Cognitive skills for math and decision-making, along with 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 insurance billing for the business office.
Complete accurate and timely insurance verification and benefits coordination.
Process patient, insurance, and other payments as directed.
Prepare weekly and monthly reports on third-party billings, pending diagnoses, and late charges.
Perform insurance follow-up procedures.
Complete assigned daily business office activities in a timely manner.
Perform clerical and administrative duties, including answering phones, sorting and distributing mail, and preparing documents.
Maintain office files and implement an efficient filing system for other staff.
Maintain office equipment, including cleaning, maintenance, and repairs as needed.
Ensure services scheduled by outside providers have payer-approved authorization, as required by the payer and procedure, before service.
Communicate with patients, insurers, and other appropriate parties about insurance verification and authorization.
Escalate financial clearance risks in accordance with the Financial Clearance Program.
Refer underinsured or uninsured patients and services requiring point-of-service prepayment to the appropriate patient financial responsibility or financial assistance teams, when applicable, to assess assistance eligibility and obtain payment before services.
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 and maintain regular attendance.
Review and meet ongoing role competency requirements.
Perform other assigned duties, tasks, and responsibilities.