What are the responsibilities and job description for the Scheduling/Billing Specialist-Surgery Center Cedar Rapids position at UnityPoint Health?
- Area of Interest: Patient Services
- FTE/Hours per pay period: 1.0
- Department: Ambulatory Surgery/SCCR
- Shift: Monday-Friday, 8:30 am to 5:00 pm
- Job ID: 160918
UnityPoint Health Information
Why UnityPoint Health?
Commitment to our Team – We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.
Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and an unwavering belief in doing what's right for the people we serve.
Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.
- Caring is what we do, and it starts with our team members: expect paid time off, parental leave, 401K matching and an employee recognition program as we support you both personally and professionally.
- You can only give your best when you feel your best, and we help you live well with dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members to give you peace of mind.
- We strive to make things easier and more personal in health care to set us apart from the rest, and you can experience that commitment through early access to earned wages with Daily Pay, a tuition reimbursement program designed to help you further your career and adoption assistance to help you grow your family in the way that works for you.
Diversity, Equity and Inclusion Commitment – At UnityPoint Health, we honor the ways people are unique and embrace what brings us together. Our collective goal is to champion a culture of belonging where everyone feels valued and respected.
Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.
Hear more from our team members about why UnityPoint Health is a great place to work at https://dayinthelife.unitypoint.org
Overview
The Surgery Center Scheduling Billing Specialist will be responsible for receiving and posting patient payments on accounts, perform account review and follow-up with third party payers to ensure accurate and timely payment, follow-up, and collections of patient payments, and with medical insurance, coding, and billing processes.
Responsibilities
Payment Posting & Account Follow-up:
- Oversee billing and reimbursement for specific Alpha patient accounts - Daily work in RCM
- Insurance follow up - troubleshoot unpaid or denied claims and communicate with insurance via phone or website, read and analyze EOB’s
- Initiate all corrected claims, reconsiderations, inquiries, and appeals (both 1st and 2nd level)
- Review/troubleshoot/correct rejected claims that are rejected by Waystar or the insurance carrier. These are found in the work group folder in Waystar. All edits must be passed to clean the claim and for it to be cleared and loaded for processing.
- Correct or Add insurance information in demographics and correct billing groups and charge corrections in EHR.
- Provide patient estimates
- Customer service calls to and from patients regarding accounts
- Counsel patients on coverage, cost estimates, patient financial responsibility, and financial assistance applications
Medical Records, Insurance, and Coding:
• Respond to Medicare ADR letters for invoices or Medical Records
• Upload and fax requested medical records needed to process a claim
• Research and communicate with Regional Reps an insurance companies
• Gather, verify, and enter demographic and billing information for new and established patients to complete the electronic health record and insurance claim for each patient visit
• Demonstrates ability to effectively manage details by accurately completing patient registration and maintaining medical records in all areas of the surgery center
• Gather, verify, and enter demographic and billing information for new and established patients to complete the electronic health record and insurance claim for each patient visit
• Demonstrates ability to effectively manage details by accurately completing patient registration and maintaining medical records in all areas of the surgery center
• Special projects for high dollar procedures
• Must demonstrate an aptitude and interest in registration
• Verifies insurance eligibility and insurance coverage for patients via phone or internetlways protects patient confidentiality.
• Performs Other Duties as Assigned
Qualifications
Education:
• Must have high dipolma.
Experience:
• Knowledge of healthcare billing practices
• Experience with computer systems, including Microsoft Office.
• Knowlegdge of medical terminology (preferred but not required).
• Experience with Electronic Medical Record Software (preferred but not required).
Knowledge/Skills/Abilities:
• Writes, reads, comprehends, and speaks fluent English
• Multicultural sensitivity
• Critical thinking skills using independent judgment in making decisions
• Basic computer knowledge using Microsoft Office, web browser, and email
Other:
• Use of usual and customary equipment used to perform essential functions of the position
