Billing Representative

Surgical Notes is hiring for a Billing Representative to assist with customer EDI functions. The ideal candidate has excellent organizational skills, communication skills, with the desire and ability to learn quickly. Working as a part of the team to meet deadlines, but also being able to work independently is crucial to the success in this position. Our organization prides itself on being built upon a set of strong core values. We are looking for candidate who will actively exhibit these core values: Service Excellence, Transparency, Teamwork, Accountability, Hardwork, and Positive Attitude.   

External Title: Billing Specialist II 
Internal Title: US RCM Individual Contributor II 
Reports to: Manager, RCM Billing 

Responsibilities: 

• Properly enter charges based off of coding provided by certified coders 
• Ability to read and comprehend an EOB 
• Pull daily banking and retrieve all corresponding remits/deposits that balance back to the bank and post  
• Post per EOB and ensure claim paid correctly according to payer contract 
• Correct status for AR team to work claim if it is not paid correctly 
• Be able to verify the correct contract rate is applied to the billing 
• Effectively file claims electronically daily 
• Work billing rejections in clearinghouses: Waystar 
• Communicate and supply documentation to coding department including: Op notes, implant logs, pathology reports 
• Be the go between to provide document management between coding team and client to effectively bill claim  
• Ensure timely filing of claims via electronic submission or paper submission  
• Send all paper claims via certified mail with required documents  
• Resolve and reconcile submissions, rejections and edits on a daily basis  
• Enter charges, post patient deposits and quality assurance of entries and submissions  
• Other responsibilities as assigned 

Role Information: 

• Full-Time 
• Hourly 
• Non-Exempt 
• Eligible for Benefits 
• Remote: The minimum bandwidth requirements are 10 Mbps upload and 50 Mbps download speeds. The recommended bandwidth requirements are 20 Mbps upload and 100 Mbps download speeds. 

Job Requirements 

Required Knowledge, Skills, Abilities & Education: 

• Highschool diploma or equivalent 
• Experience with medical billing  
• Proven experience working payer rejections at time of billing including but not limited to commercial, government, out of network, workers compensation, and auto-vehicle  
• Proficient with MS Outlook, Word, and Excel  
• Strong interpersonal and persuasive abilities in order to secure accurate and timely payment from patients  
• Ability to work in a fast-paced environment  
• Outstanding communications skills; both verbal and written  
• Positive role model for other staff and patients by working with them to promote teamwork and cooperation  
• Ability to apply commonsense understanding and logic in day-to-day activities.  
• Ability to work independently and as part of a team  
• Strong attention to detail and speed while working within tight deadlines  
• Exceptional ability to follow oral and written instructions  
• A high degree of flexibility and professionalism  
• Excellent organizational skills  
• Outstanding communications skills; both verbal and written 

Preferred Knowledge, Skills, Abilities & Education: 

• Associate’s Degree in Healthcare Management, Business Management or a related field 
• Experience with healthcare billing and collections  
• Experience working in an Ancillary/Ambulatory Surgery Center (ASC)  
• Paragon and/or athenahealth experience  
• Strong Microsoft Office skills in Teams  
• A working knowledge of IPAs and health plans is required.  
• Comfortable with electronic and manual payor follow-up.  
• Able to quickly identify trends and escalate, as appropriate.  
• Ability to read, analyze and interpret insurance plans, financial reports, and legal documents. 

Physical Demands: 

• Sitting and typing for an extended period of time 
• Reading from a computer screen for an extended period of time 
• Speaking and listening on a telephone 
• Working independently 
• Frequent use of a computer and other office equipment 
• Work environment of a traditional fast-paced and deadline-oriented office 

Key Competencies: 

1. Communication 
2. Attention to detail 
3. Responsiveness 
4. Customer Service 
5. Execution