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Billing Representative Clerk (FT) - Laguna Niguel Surgery Center

Company: SCA Health
Location: Laguna Hills
Posted on: June 26, 2022

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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