What are the responsibilities and job description for the Billing Representative Clerk - Citrus Regional Surgery Center position at SCA Health?
At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000 professionals working together, learning from each other and living out the mission, vision and values that define our organization.
As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:
- Clinical quality
- Integrity
- Service excellence
- Teamwork
- Accountability
- Continuous improvement
- Inclusion
Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.
At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Click here to learn more about our benefits.
Your ideas should inspire change. If you join our team, they will.
Responsibilities
We are seeking a Full Time experienced ASC Biller who is a reliable, detail-oriented, takes initiative, is a skilled problem solver, self-directed and able to work independently, and who has a positive and cooperative work ethic Possess basic knowledge of medical terminology and health insurance billing.
- Possess knowledge of typing, word processing, spreadsheet preparation, and computer billing systems.
- CPT & ICD 10 knowledge.
- Daily transmittal to Coding Team of H&Ps, Operative Reports, & any other correspondence required to accurately code cases.
- Accurately bill CPT Codes, implants, and supplies per the UBO’s Billing Protocols.
- Ability to accurately calculate implant, supply, and pharmaceutical implant mark-up and reimbursement.
- Submitting accurate primary & secondary insurance claims to insurance providers following agency and payer guidelines.
- Performing accurate Time of Billing adjustments for procedures, implants, and supplies based on the appropriate contract.
- Knowledge of multiple insurance contracts, Medicare, and W/C Fee Schedule.
- Responsible for daily reconciliation of charges posted (Daily Summary Report, Open Transaction Report, & Daily Posting Report) and uploading these documents to SharePoint.
- Manages unbilled cases by providing ample notes in PAS and reporting to Business Office Manager on a weekly basis what is required to bill.
- Verifies and resolves all rejections in electronic claim clearinghouse, prepares and mails UB claims, and gathers appropriate medical records to send with claims sent via mail.
- Participates in any other business office functions as needed and at the direction of the Business Office Manager.
Qualifications
- High school diploma or GED certificate
- Possess basic knowledge of medical terminology.
- Possess knowledge of health insurance billing.
- Possess knowledge of typing, word processing, spreadsheet and computer billing systems.
- Ability to handle confidential information.
- Ability to work independently and as a self-starter with a high level of initiative
- Ability to multi-task.
- Strives to be professional, courteous, helpful and cooperative
- Good computer and typing skills
- Good communication skills, strong emphasis on excellent customer service
Salary : $16 - $18
