Demo

Billing Specialist

Regent Surgical
Troy, MI Full Time
POSTED ON 1/16/2025
AVAILABLE BEFORE 4/10/2025

About Regent Surgical Health

Since 2001, Regent Surgical Health has been a leader in developing and managing successful surgery center partnerships between hospitals and physicians. We continually improve and evolve the ASC model based on changing market conditions to stay ahead of emerging trends. From this vantage point, our team has developed proprietary ASC ownership models that give both physicians and hospitals what they need to ensure long-term clinical and financial success.

Regent offers a comprehensive and competitive benefits package as one way to recognize our employee's contribution to the success of the organization and our role in helping you and your family to be healthy, feel secure and maintain a work / life balance.

Pursuant to the ADA, Regent will provide reasonable accommodation(s) to all qualified employees with known disabilities, where their disability affects the performance of their essential job functions, except where doing so would be unduly disruptive or would result in undue hardship.

We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.

We are an equal opportunity employer.

About the role

  • Summit Surgery Center is seeking a Billing Specialist to support the accuracy and efficiency of our billing processes. This role is responsible for submitting claims and statements to third-party payers and guarantors, reconciling billing issues, and providing financial counseling to patients. The ideal candidate will be detail-oriented, organized, and committed to supporting the center's mission and values.

What you'll do

  • General Duties :
  • Support the facility's mission, goals, and objectives.

  • Perform duties according to facility policies and procedures.
  • Maintain patient privacy, dignity, and confidentiality.
  • Insurance Billing :
  • Verify accuracy of patient insurance information.

  • Enter codes, charges, and supplies into the billing system.
  • Reconcile unbilled reports and resolve issues causing delays, such as missing operative notes or vendor invoices.
  • Submit claims to insurance companies with all necessary documentation.
  • Follow up on secondary insurance claims after primary carrier payments.
  • Patient Billing and Financial Counseling :
  • Verify accuracy of insurance payments and adjustments.

  • Prepare and send patient statements.
  • Contact patients to discuss benefits and estimated patient portions.
  • Review payment options and arrange payment plans or collect payments as appropriate.
  • Billing Inquiries and Correspondence :
  • Field billing-related calls from patients and insurance companies.

  • Provide clear and professional responses to billing questions.
  • Escalate complex inquiries to the Business Office Manager or Administrator as needed.
  • Qualifications

  • Required :
  • High school diploma or GED certificate.

  • Training in business office activities.
  • Experience with third-party payer billing.
  • Strong ethical and moral character references.
  • Preferred :
  • Two or more years of billing experience.

  • Ambulatory Surgery Center (ASC) billing experience.
  • Location

    This position is based at Summit Surgery Center.

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