POSITION SUMMARY:
Underneath the supervision of the Center Leader, responsible for areas such as insurance verification, scheduling of surgical procedures, billing/coding/accounts receivable, and accounts payable records. Promotes a favorable image of the Center to physicians, patients, insurance companies, and the public.
QUALIFICATIONS:
- High School Diploma or GED
- One (1) year of experience, preferably in an Ambulatory Surgery Center (ASC)
- Medical coding experience
- Experience in Endoscopy/Multi-specialty/Ophthalmology/ASC
- Ability to speak and understand the English language
- Strong ethical and moral character references
- Basic computer skills
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Supervises business office personnel in the areas of insurance verification, compliance, and scheduling of surgical procedures in accordance with center policies, procedures, philosophy, and objectives.
Coordinates billing/coding/accounts receivable with billing company or the billing office staff
Posts insurance and patient payments, sends patient statements weekly.
Maintains accounts payable records and supervises payment of supplies to include monitoring back orders
Responsible for payroll monitoring and reporting, daily backup of computer files, and security of backup tapes/disks
Responsible for maintaining Physician's Endo account, including payables, and processing monthly physician distributions
Coordinates activities with other departments and participates in obtaining and maintaining qualified personnel
Responsible for environmental control of area
Promotes a favorable image of the center to physicians, patients, insurance companies, and the general public
Works effectively with the Physician practice
Provides accurate, timely and responsive information to patients, Physicians and other stake holders
Works effectively with the Business Operations contact
Strong knowledge of ICD 9 & 10
Strong knowledge of CPT (certification preferred, not required)
Maintains all claim records
Analyzes, enters, and manipulates database
Follows up on all outstanding payer rejections
Balances and reconciles month end reports
Communicates with the corporate accounting department regarding outstanding items
Maintain strictest confidentiality and adheres to all HIPAA guidelines and regulations
Manage proper submission of documents in a timely fashion
Attends in-services, seminars, and webinars for additional education and performance improvement
May delegate duties as he or she deems necessary.
Demonstrates courtesy and helpfulness toward patients and their families.
Attends all required education
Regular and predictable attendance
Performs other duties as assigned