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Collections and Billing Specialist

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Collections and Billing Specialist

Vero Beach South, Florida The Advanced Center for Surgery (10635)
Category Business Office Job ID 64555-147
Status Full-Time/Regular
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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

Required Skills:
  • 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.
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