Billing Support Specialist

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🔥 5 minutes ago

🏈 Alabama, Florida, +1 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

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Surgical Information Systems

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1996

☁️ SaaS

🤝 B2B

📋 Compliance

SaaS • B2B • Compliance

Surgical Information Systems is a healthcare-focused software and services company that provides cloud-based perioperative and ambulatory surgery center (ASC) management solutions. Their SIS Complete platform includes EHR/clinical documentation, anesthesia and surgery documentation, analytics, revenue cycle management (RCM) services, and compliance tools tailored for ASCs and hospitals. SIS delivers SaaS products plus tech-enabled billing, coding, transcription, and compliance services to improve clinical, financial, and operational performance for surgical providers.

📋 Description

• Maintain site-specific information for assigned clients. • Verify that the correct contract rate is applied to billing. • Work billing rejections in clearinghouses, including Waystar. • Communicate with and provide documentation to coding and billing departments, including operative notes, implant logs, and pathology reports. • Coordinate document management between the coding team, billing team, and client to support effective claim billing. • Provide feedback, guidance, and training support to billers to correct and prevent charge posting errors. • Monitor the quality of charge entry and claim submission. • Ensure timely filing of claims via electronic or paper submission. • Resolve and reconcile submissions, rejections, and edits daily. • Maintain a clear understanding of the insurance collection process. • Solve problems associated with assigned tasks. • Enter charge corrections provided by AR Specialists and rebill payers as needed. • Correct and resend rejected claims. • Generate end-of-month unbilled reporting. • Apply familiarity with CPT codes, ICD codes, and modifiers. • Calculate pricing for implants and supplies accurately based on site specifics. • Communicate professionally with internal and/or external clients. • Pull case documents for audits as needed. • Post for clients with offshore restrictions as needed. • Perform other assigned duties.

🎯 Requirements

• Knowledge of medical billing and insurance guidelines is required. • Proven experience working payer rejections at the time of billing, including but not limited to commercial, government, out-of-network, workers’ compensation, and auto-vehicle claims. • Knowledge of computers and Windows-driven software, including Microsoft Word, Excel, and Outlook. • Excellent command of written and spoken English. • Cooperative attitude when working with co-employees, management, patients, and outside contacts. • Ability to promote a favorable company image with patients, insurance companies, and the general public. • Strong attention to detail and speed while working within tight deadlines. • Exceptional ability to follow oral and written instructions. • High degree of flexibility and professionalism. • Experience working in an ancillary or Ambulatory Surgery Center (ASC) environment. • Working knowledge of IPAs and health plans is required. • Comfortable with electronic and manual payer follow-up. • Able to quickly identify trends and escalate as appropriate. • Ability to read, analyze, and interpret insurance plans, financial reports, and legal documents.

🏖️ Benefits

• Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance • Vacation/Sick time • 401(k) retirement plan with company match • Paid Holidays • SIS Cares Day • Hybrid or Remote environment depending on the role