Medical Biller (Onsite)

Full Time -- 8:30A-4:30P

WHO WE ARE: In 2004, in an ambitious push to bring hospitality back to the hospital, a small group of top Metro-Detroit surgeons decided to create their own surgical hospital; one that provided patients with the best possible care in a small, easy-to-manage environment that truly embraces the best patient experience. Our highly skilled surgeons and staff play a key role in our success rates and becoming the premier center of choice with 30 surgical beds and 6 operating rooms.

Surgeons Choice Medical Center has an exciting opportunity for a Medical Biller in our Billing Department. An ideal candidate has a passion to serve people to improve their quality of life and empower them on their health journey.

Responsibilities:

Under general supervision of the Director of Revenue Cycle Management, maintains and ensures that all insurances are validated and authorizations a acquired prior to claim submission to all payers. Uses standardized medical coding systems to transform patient symptoms, treatments, and diagnostic tests into codes. Assigns codes, submits claims, tracks payments, follows up with patients and insurance companies to ensure cash flow for the organization. Creates visits and claims for timely submission to all payer guidelines and uploads corresponding documents to the patients file. Any other related data entry assigned by the Director of Revenue Cycle Management as needed.

Qualifications/Position Requirements:

A. Education/Experience

 High School Diploma / GED required.

 Some hospital billing clerk or data entry experience required.

 Experienced with computers and/or medical software preferred.

 Surgical billing experience required.

B. Licensure/Certification

 Certified Medical Biller Certificate is a plus, but not a requirement

C. Knowledge, Skills and Abilities

Individual must have knowledge of UB04 and CMS 1500 claim forms.

Knowledge of CPT, HCPCS, and ICD-10 coding required.

Prior knowledge of medical billing software required.

Excellent typing/keyboard skills and data entry required.

Duties and Responsibilities:

Under the general supervision of the billing manager/director, the billing clerk is responsible for data entry of reference lab accounts and claim creation, ensuring timely cash flow for the hospital.

Update as needed any patient demographic and insurance information related to the process of clean claim submissions.

Locate the patients consent form in e-mail sent with patient list.

Create a new hospital visit for this date of service.

Add provider, date of service, correct insurance and any other necessary patient data.

Check the patient in and then discharge for correct date of service.

Enter charge codes from the Infiniti log.

Review entered information and click "done with chart review".

Enter provided diagnosis code under Medical Codes.

Create claim for reference lab patient.

Save paperwork from e-mails into Athena under patients account making sure to label each entry.

Maintains and ensures that all nonbillable procedure codes are sent to the coder for correction prior to claim submission to all payers

Maintain HIPPA and other lawful pra

Surgeons Choice Medical Center

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