Medical Billing & Collections Specialist (ASC/ Surgical- Remote Charlotte Area) 2/2

70158 Carolina Orthopaedic Surgery Associates - Ambulatory Surgery Center

Full time

Yes

40

Mon- Fri 40 hrs (6a-6pm variable)

Pay Range:

$21.85 - $32.80

Advocate Aurora Health candidates must live in these states: AK, AL, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Essential Functions

• Review medical records for documentation accuracy and assign the correct CPT and ICD-10 codes to the claim. May conduct or assign audit reviews of coding and procedures specification.
• Performs and oversees all billing processes, including primary/secondary and rebilling, including necessary claim edits on both internal and external software systems.
• Remains knowledgeable and current on rules and regulations related to all government payers: Medicare, Medicaid, VA, etc.
• Checks clearinghouse transmission daily to ensure files are successfully transmitted to the intermediary. Works closely with vendors when problems or trends arise that impede work flow.
• Handles follow up on billed patient accounts to successfully collect owed balances. Posts payments as required via cash, credit cards, EFT and third-party vendors, etc.
• Reviews and adjudicates EOBs/RAs to determine if the Surgery Center was paid correctly by the payer.
• Deals with denials in an efficient and effective manner, handling appeals as needed to get claims paid.
• Remains actively involved in KPIs associated with the financial performance of the Surgery Center.

Physical Requirements
The ability to lift, carry or push/pull up to 20 pounds and, occasionally, lift carry, push/pull over 20 pounds. Standing, walking 30% of the time, and sitting 70% of the time. Eye/hand coordination, finger dexterity, color perception, functional visual ability and depth perception, functional sound perception and discrimination, functional verbal speech ability. Occasional bending, kneeling, climbing, twisting, reach at/or above and below shoulder level. Routine balancing as it pertains to normal office environment duties.

Education, Experience and Certifications

High school diploma required. An Associate degree, suitable Trade School or Coding Certification preferred. 2-5 years' experience in a medical environment required, with strong medical terminology knowledge, preferably in the surgical realm. Thorough working knowledge of CPT and ICD-10 codes and can process outgoing claims, write billing edits, transmit transaction files and process payments. Strong typing skills, significant computer experience, email, copier and Microsoft office experience required. EMR experience required. EMR experience can be from a physician practice but should include both clerical and clinical functions. Knowledge of ASC billing preferred. Knowledge of billing rules and regulations through various governmental programs is required, as well as pertinent knowledge related to commercial claim submission and a firm grasp of all HIPAA guidelines.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.