Surgery Center Biller – MidAmerica Spine Center – Chesterfield, MO

Expert at maximizing revenue for out of network ambulatory surgical centers (ASC) wanted. Track the pulse and trends for ASC (outpatient surgery) facilities and take proactive action to research claims, prepare denials and prepare thorough documentation of cases. Manage the process relating to overdue out of network claims and patient accounts, collections and/or write-offs. Must maintain current knowledge of health care billing laws, rules and regulations and developments.

Responsible for the follow-up up of all unpaid/denied claims with insurance carriers
Work on all incoming correspondence including refund requests
Review and send appeals on medical claims
Work all surgical facility billing accounts to resolution
Prepare patient statements monthly
Review patient balances and resolve patient billing issues
Must have ability to review medical documentation for medical necessity
Must have solid understanding of out of network billing and collections

Requirements:

Experience: At least 2-5 years of medical facility billing experience, out of network helpful.
Orthopedic/Pain management/ Ambulatory Surgery Center is highly preferred.
Strong knowledge of computerized billing systems. Experience with Vision, and Zirmed/Waystar is helpful.
Basic level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.
Critical thinking to identify and resolve complex problems in a remote work environment.
Technical expertise in prioritizing tasks while meeting or exceeding deadlines.
Excellent customer service skills to enhance a cooperative virtual team and energetic work environment.
Experience working denied claims and appeals

Job Types: Full-time, Part-time

Pay: $30,000.00 – $70,000.00 per year

Benefits: