ASC Biller, Commercial Payors
Peachtree Orthopedics
- Atlanta, GA
- Permanent
- Full-time
- Limitless Growth: Propel your career with abundant professional development opportunities within our dynamic organization.
- Empathetic Culture: Immerse yourself in a supportive, lively work culture that values your well-being and celebrates your contributions.
- Dedication to Excellence: Join a team of like-minded individuals who share your commitment to delivering top-notch care to our cherished patients. Your Impactful Role
- Maintain and track all scheduled cases for accurate billing.
- Report any missing operative reports to CBOM daily.
- Assigns diagnosis and procedure codes for each case using current generally accepted code structures on a daily basis, according to the cases performed as stated in operative note, or intra operative record.
- Enter charges and file paper and electronic claims daily within 72 hours of date of surgery.
- Take all appropriate contractual adjustments at the time of billing.
- Daily review and correct all electronic billing reports to ensure these claims are filed correctly.
- Provide all appropriate documentation to third party payors.
- Bill all implants and billable supplies according to payor guidelines.
- Review all Medicare cases to assure compliance.
- Maintain updates and modification of all code books as published.
- Maintain complete and accurate files on all insurance information and contracts.
- Communicate current needs and insurance updates to other office or facility personnel to ensure appropriate reimbursement.
- Be familiar with and follow all billing requirements of local and national payors.
- Help maintain patient confidentiality standards for both medical and financial information.
- Maintain updates and modification of all code books as published.
- Keep job related skills current through training programs.
- All other duties as assigned.
- High school diploma or general education degree (GED).
- Minimum 3 years of patient and third party collection experience.
- Knowledge of third party explanation of benefits, global billing, and Georgia’s worker's compensation and Medicare reimbursement practices. Proficient in multiple payers' insurance verification.
- Knowledge of physician billing and/or collections. Typing speed 55 wpm and the ability to use a calculator.
- 2 years’ experience surgical billing/coding -hospital or ambulatory surgery center preferred.
- Orthopedic coding and billing knowledge preferred. AR experience a plus.
- Payer contract knowledge, analytical skills, intermediate mathematics aptitude.
- Dependable, independent self-starter with ability to manage high volume, fast paced practice.
- Certified Professional Coder (CPC) preferred.