Specialty Biller and Coder

Surgery Partners Careers•Nashville, TN

4d•Onsite

About The Position

This role is responsible for resolving disputed claims, maintaining work operations by following policies and procedures, and ensuring quality results by adhering to company standards. The position requires updating job knowledge through educational opportunities and staying current on billing and reimbursement procedures. It involves working in a normal busy office environment with significant telephone work and potential for long hours.

Requirements

High school diploma.
Minimum of two years of experience with medical office billing procedures.
Knowledge and understanding of Physician E&M billing and coding required.
Knowledge of clinic policies and procedures.
Knowledge of 3rd party payers, Medicare, Medicaid Billing/Collections, HCPC, CPT, and ICD-9 coding.
Knowledge of computer systems, programs, data entry, and spreadsheet applications.
Knowledge of medical terminology and analyzing information.
Knowledge of collection practices.
Knowledge of governmental, legal, and regulatory provisions related to collection activity.
Skills in gathering and reporting claim information.
Skills in solving utilization problems.
Skills in written and verbal communication, as well as customer relations.
Skills in working with Windows based software systems.
Ability to work effectively with medical staff and external agencies.
Ability to identify, analyze, and solve claim issues.
Ability to deal courteously and professionally with internal and external customers.

Nice To Haves

Billing Certification preferred.
Certified Coder preferred.

Responsibilities

Resolves disputed claims by gathering, verifying, providing additional information, and following-up on claims.
Resolves discrepancies by examining and evaluating data and selecting corrective steps.
Maintains work operations by following policies and procedures and reporting compliance issues.
Maintains quality results by following standards set forth by the company.
Updates job knowledge by participating in educational opportunities, reading professional publications, keeping current on Medicaid/Medicare billing, and reimbursement procedures.
Other assigned duties as assigned.