Senior Revenue/Billing Specialist

A Senior Surgery Biller is a specialized medical billing professional with extensive experience in processing claims for surgical procedures . They are responsible for ensuring accurate and timely billing for surgical services, often working with complex coding and insurance regulations. Their role involves understanding medical terminology, coding standards (CPT, ICD-10, HCPCS), and insurance guidelines to facilitate accurate claim submissions and reimbursement. Key Responsibilities of a

Senior Surgery Biller:

Claim Submission and Processing:

Reviewing medical records, applying appropriate coding, and submitting claims to insurance companies.

Coding Accuracy:

Ensuring accurate coding for surgical procedures, diagnostic tests, and other related services.

Insurance Knowledge:

Understanding different insurance plans, their coverage, and reimbursement policies.

Follow-up and Discrepancy Resolution:

Tracking claim status, addressing denials, and resolving billing discrepancies with insurance companies.

Compliance:

Adhering to HIPAA regulations and other relevant healthcare laws and regulations.

Training and Mentoring:

May be responsible for training or mentoring junior billing staff.

Process Improvement:

Identifying opportunities to streamline billing processes and improve efficiency.

Skills and Qualifications:

Experience:

Typically requires several years of experience in medical billing and coding, with a strong understanding of surgical billing.

Knowledge:

Thorough knowledge of medical terminology, coding systems, and insurance regulations.

Certifications:

Certifications like CPC, CCS, or other relevant billing and coding certifications are often preferred.

Technical Skills:

Proficiency in medical billing software and computer applications.

Problem-solving and Analytical Skills:

Ability to identify and resolve billing issues and discrepancies.

Communication Skills:

Effective communication skills to interact with insurance companies, providers, and patients.

Pay:

$22.00 - $28.00 per hour

Benefits:

401(k) AD&D insurance Health insurance Life insurance Paid sick time Paid time off

Experience:

Physician Billing:

3 years (Required)

NextGen:

3 years (Required)

Work Location:

In person