Medical Billing & Collections Specialist – ASC, Surgical

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🔥 0 minutes ago

🏈 Alabama, Arizona, +30 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $21 - $32 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Advocate Aurora Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

Healthcare • Healthcare Insurance

Advocate Aurora Health is a leading healthcare organization that operates across various regions including Central Chicagoland, Central Wisconsin, Greater Milwaukee, and more. With a diverse range of career areas such as advanced practice clinicians, behavioral health, nursing, and more, Advocate Aurora Health is committed to helping people live well. The organization offers numerous benefits and opportunities for career advancement, fostering an environment where individuals can thrive and innovate in the healthcare sector. Advocate Aurora Health prioritizes the safety of its candidates and maintains a robust recruitment process to protect sensitive information.

📋 Description

• Review medical records for documentation accuracy and assign correct CPT and ICD-10 codes to claims • Conduct or assign audit reviews of coding and procedure specifications • Perform and oversee billing processes, including primary/secondary billing and rebilling • Apply necessary claim edits using internal and external software systems • Maintain current knowledge of rules and regulations for government payers including Medicare, Medicaid and VA • Check clearinghouse transmissions daily to ensure files are successfully transmitted • Work with vendors to resolve workflow-impeding problems or trends • Follow up on billed patient accounts to collect outstanding balances • Post payments via cash, credit cards, EFT and third-party vendors • Review and adjudicate EOBs/RAs to determine whether the Surgery Center was paid correctly • Handle denials and appeals to obtain claim payment • Monitor KPIs associated with the Surgery Center's financial performance

🎯 Requirements

• High school diploma required • An Associate degree, suitable Trade School or Coding Certification preferred • 2-5 years' experience in a medical environment required, preferably in the surgical realm • Strong medical terminology knowledge • Thorough working knowledge of CPT and ICD-10 codes • Ability to process outgoing claims, write billing edits, transmit transaction files and process payments • Strong typing skills • Significant computer, email, copier and Microsoft Office experience required • EMR experience required, including both clerical and clinical functions • Knowledge of ASC billing preferred • Knowledge of billing rules and regulations through various governmental programs required • Knowledge related to commercial claim submission • Firm grasp of HIPAA guidelines • Ability to lift, carry or push/pull up to 20 pounds and occasionally over 20 pounds • Must live in one of the listed states: AK, AL, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

🏖️ Benefits

• Comprehensive Total Rewards benefits and well-being programs • Competitive compensation • Premium pay such as shift and on-call pay • Incentive pay for select positions • Opportunity for annual increases based on performance • Paid Time Off programs • Medical, dental, vision, life, and Short- and Long-Term Disability benefits • Flexible Spending Accounts for eligible health care and dependent care expenses • Adoption assistance • Paid parental leave • Defined contribution retirement plans with employer match • Other financial wellness programs • Educational Assistance Program