Collections and Billing Specialist

At Advanced Center for Surgery, we believe health and care are inseparable. The Advanced Center for Surgery in Vero Beach is a busy, multispecialty ambulatory surgery center in Vero Beach, performing outpatient procedures in General Surgery, Orthopedic Surgery, Pain Management, Plastic/Reconstruction, Podiatry, Robotic Total Joints, and Spine. 

Advanced Center for Surgery is now seeking a full time Billing Specialist.

Responsibilities:

• Pull any preoperative notes from the designated transcription company.
• Extract information from medical records, operative notes, invoices, progress notes and discharge paperwork to ensure completeness and accuracy of charge entry.
• Capture implants, high-cost supplies, high-cost drugs, post op pain blocks and observations times prior to charge submission
• Review accuracy of invoice details, including customer billing instructions, pricing, discounts, state sales tax, etc.
• Execute the recurring billing workflow and generate and transmit claims daily.
• Ensure timely follow-up and resolution of internal and external inquiries of billing issues (i.e., operative notes, POPM form, invoices, or implant pricing etc).
• Reconcile revenue and billing during the period-end close process.
• Complete accurate charge entry for all assigned cases and upload to designated electronic claims clearinghouse daily.
• Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.
• Maintain current knowledge of health care billing laws, rules and regulations and developments

• 2 years of ASC revenue cycle or orthopedic charge entry or collections experience.
• Ability to read and interpret insurance explanations of benefits and managed care contracts. Must communicate effectively, both verbally and in writing, with internal and external clients.
• Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines  Knowledge or experience working with a variety of health care insurance payers is preferred  Intermediate computer proficiency in Microsoft Office including Excel and Outlook
• Advantx, Vision, HST, Waystar experience preferred.
• High School Diploma or equivalent.