Surgical Billing Specialist - Mid Atlantic Retina

This position is eligible for Mid Atlantic Retina's $1,000 Hiring Incentive! The hired candidate will receive $500 after successful completion of 90 days of employment and $500 after successful completion of 1 year of employment! Available to new hires only- not available to agency hires, internal transfers, or re-hires.

Job Type: Full Time

Qualifications

1. 1-2 years surgical coding experience preferred.
2. Knowledge of benefit investigation including obtaining eligibility information, authorizations, and referrals.
3. Experience with CPT codes, ICD-10 and Microsoft Office Suite. NextGen a plus.
4. Strong customer service skills and attention to detail.

Job Description

The surgical biller is responsible for the accurate completion of benefits verification, authorizations, collection of patient financial responsibility and coding/billing surgeries. Timely follow-up of all surgery related accounts receivable for all insurance payers, as well as any patient balances.

Benefits

• 401(k) & Profit Sharing
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Short & Long Term Disability
• Paid Time Off
• Bonuses

Essential Functions

1. Responsible for coding and posting surgical procedures.
2. Accurately assign CPT and ICD-10 codes to achieve timely billing.
3. Ensures timely and accurate verification of benefits and authorizations for all surgeries.
4. Contacts and follows up with patients regarding their financial responsibilities for scheduled surgery.
5. Reviews daily schedules for upcoming surgeries
6. Maintains open communication with the surgical teams related to any issues that may affect patient responsibility.
7. Obtains and retrieves operation notes from the facility where the surgery was performed.
8. Enters surgery charges into NextGen.
9. Posts all surgery patient payments.
10. Works all accounts receivable reports monthly to maintain established goals as set forth by the department.
11. Maintains up to date billing knowledge of insurance carriers to be a resource for patients and our teams.
12. Keep current with all medical policies as they pertain to our practice and surgery.
13. Regular and predictable on-site attendance required.
14. Performs other related duties as required and assigned.
15. Travels to other MAR locations as needed.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk, communicate verbally in front of groups, 1:1 and over the telephone and in email. The employee will also be required to engage in interactive communication with employees, typically hearing and reading / responding to their emails.
This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, bend and reach open filing cabinets and bend or stand on a stool as necessary.

Travel

Willingness to travel is required.