Billing Representative Clerk (FT) - Laguna Niguel Surgery Center
Company: SCA Health
Location: Laguna Hills
Posted on: June 26, 2022
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Job Description:
US-CA-Laguna Hills# of Openings: 1Category: OtherSystem ID:
21075Group Name: TGSOverviewSurgical Care Affiliates (SCA) is
transforming specialty care in our communities. We relentlessly
create value by aligning physicians, health plans and health
systems around a common goal: delivering exceptional care and
healing to our patients and communities we serve. We are driven to
achieve the quadruple aim in health care: high quality outcomes and
a better experience for patients and providers, all at a lower
total cost of care. As a national leader in surgical care, SCA's
11,000 teammates operate more than 260 surgical facilities that
serve over 1 million patients per year. For more information on
SCA, visit www.scasurgery.com.Why join SCA? Consider the following
fantastic benefits...Positive work cultureCareer growth
opportunitiesComprehensive medical, vision and dental insurance -
eligible on Day 1 of employmentPaid time off plus 8 paid
holidaysMaternity/paternity/adoption benefitsEmployer-paid life and
short- and long-term disability insuranceExcellent 401(k) Plan
Accountabilities / ResponsibilitiesWe 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.
QualificationsHigh school diploma or GED certificatePossess 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 initiativeAbility to
multi-task.Strives to be professional, courteous, helpful and
cooperativeGood computer and typing skillsGood communication
skills, strong emphasis on excellent customer
servicePI180335163
Keywords: SCA Health, Los Angeles , Billing Representative Clerk (FT) - Laguna Niguel Surgery Center, Accounting, Auditing , Laguna Hills, California
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