[Hiring] Specialty Biller and Coder @Surgery Partners, Inc

Role Description

• Billing and Coding Supervisor

Qualifications

• High school diploma.
• Minimum of two years of experience with medical office billing procedures.
• Billing Certification preferred.

Requirements

• Knowledge and understanding of Physician E&M billing and coding required.
• Certified Coder preferred.
• Knowledge of clinic policies and procedures.
• Knowledge of 3rd party payers, Medicare, Medicaid Billing/Collections, HCPC, CPT, and ICD-9 coding.
• Knowledge of computer systems, programs, data entry, and spreadsheet applications.
• Knowledge of medical terminology and analyzing information.
• Knowledge of collection practices.
• Knowledge of governmental, legal, and regulatory provisions related to collection activity.

Essential Functions

• Resolves disputed claims by gathering, verifying, providing additional information, and following-up on claims.
• Resolves discrepancies by examining and evaluating data and selecting corrective steps.
• Maintains work operations by following policies and procedures and reporting compliance issues.
• Maintains quality results by following standards set forth by the company.
• Updates job knowledge by participating in educational opportunities, reading professional publications, keeping current on Medicaid/Medicare billing, and reimbursement procedures.
• Other assigned duties as assigned.

Skills

• Skills in gathering and reporting claim information.
• Skills in solving utilization problems.
• Skills in written and verbal communication, as well as customer relations.
• Skills in working with Windows based software systems.

Performance Expectations

• Ability to work effectively with medical staff and external agencies.
• Ability to identify, analyze, and solve claim issues.
• Ability to deal courteously and professionally with internal and external customers.

Benefits

• Comprehensive health, dental, and vision insurance.
• Health Savings Account with an employer contribution.
• Life Insurance.
• PTO.
• 401(k) retirement plan with a company match.
• And more!

Environmental/Working Conditions

• Normal busy office environment with much telephone work.
• Possible long hours as needed.
• The description is intended to provide only basic guidelines for meeting job requirements.
• Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.