RCM Specialist-Medical Biller

TruVista Surgery Center - ASC (TVSC)•Troy, MI

1d•Onsite

About The Position

TruVista Surgery Center in Troy, MI is a state-of-the-art ambulatory surgery center specializing in ophthalmic procedures. The facility is designed for efficiency, comfort, and innovation—offering cataract, glaucoma, and oculoplastic surgeries with the latest technology. A strong fit for candidates who value teamwork, excellence in surgical outcomes, and a modern clinical setting.

Requirements

Must be proficient in the English language, both written and verbal.
High school graduate or equivalent.
Ability to work with MS Office and practice management software.
Knowledge of regulatory standards.

Nice To Haves

Professional training preferred.
Experience in submitting billings for health care - Preferred.
Knowledge of billing and diagnostic codes used in billing for health care services - ICD-10 and CPT (Preferred).
Knowledge of ophthalmology billing (preferred)

Responsibilities

Assign procedural and diagnostic codes for all services.
Enter these codes, along with facility charges, into the computer system.
Create and mail insurance billings on a regular basis and accordance to facility policies.
Create and mail patient statements on a regular basis.
Post payments and adjustments to accounts daily, process refunds.
Review all accounts monthly for activity.
Contact insurance companies to determine reason for nonpayment. Review, edit and rebill claims.
Send additional information to payer and/or insured as may be requested.
Review credit balances and submit reports to Administration.
Generate monthly reports for Administration.
Responsible to keep the days in AR within facility guidelines.
Aware of and adheres to facility functions, policies and procedures.
Participate in pertinent educational offerings and monthly meetings.
Sort mail coming to the facility, open business office mail, create bank deposit.
Comply with regulatory standards and practices.
Manage and resubmit rejection notices.
Knowledge and adherence to HIPAA guidelines.
Perform other business office duties as assigned including but not limited to registration, reception, chart filing and insurance verification.
Skills in organization and prioritization of assignments through to completion.
Ability to resolve service issues and know when to escalate to Administration.
Deliver high quality customer service to internal and external customers with integrity and compassion.
Maintain tact and professionalism while working collections accounts.
Research and identify discrepancies that hinder payment.
Transcribe patient information from schedule, calculate totals and net amounts for collection.
Ensures accurate billing with 3rd party payers and Medicare parties.
Reports unusual occurrences and events in timely and accurate fashion and performs Process Improvements as needed.
Maintain pleasant and positive attitude.
Must work well with all staff, physicians, vendors, and especially peers. Willing to assist others when requested. Demonstrates cooperation and works as a team member.
Perform other office functions as directed by Administrator/Supervisor.