Biller

JOB TITLE: Biller

GENERAL SUMMARY OF DUTIES:

Performs all billing for primary and secondary insurances for Gold Coast Surgicenter. Interacts with business office staff and facility staff as needed to obtain information necessary to submit a clean claim to insurance carriers.

• Resolve claim edits/exclusions
• Understanding billing guidelines and payor requirements.
• Perform prior authorization functions as needed
• Follow-up on unpaid claims to ensure prompt payment based on aging
• Appeal unprocessed and/or unpaid claims to the appropriate insurance carrier;

EDUCATION/EXPERIENCE:

• Two or more years experience in billing and collections in an ASC, preferably
• High School, with 1-2 years experience in healthcare insurance billing and verification, collections, and/or authorizations, appeals

• Partner with AR team members, facility, vendor, and another third party to ensure all documentation needed for billing and collections is achieved.
• Follow up on claims, resolution of billing issues and collaborate with AR Manager and Team Lead for claims denials and appeals in a timely manner.

QUALIFICATIONS:

• Strong interpersonal and organizational skills
• Knowledge of medical terminology and Knowledge of CPT/ICD-10
• Knowledge or medical billing/claim submission procedures
• Billing/coding certification preferred;
• Insurance appeal experience.