Biller Redlands Surgery Center Redlands, CA Job Details Part-time $25 - $30 an hour 3 hours ago Qualifications Health insurance authorizations Appeals Teamwork HIPAA compliance Microsoft Outlook Medicare Medical insurance coverage verification Spreadsheets HIPAA Medical coding experience in outpatient clinics Billing follow-up on outstanding patient balances Electronic health record (EHR) management for billing and coding Medical billing and coding communication with insurance companies Medical insurance appeals management Organizational skills Medical coding for surgical records Centers for Medicare & Medicaid Services (CMS) billing regulations Medical claims submission Medicaid Clinical documentation standards Insurance claims appeal handling Medical terminology Documentation review Medical claim status updates Full Job Description We are seeking a detail-oriented and experienced
ASC UB-04
Biller to join our team at a newer and growing Ambulatory Surgery Center (ASC) . This is an exciting opportunity for an experienced medical biller to join our organization during an important stage of growth and help support an efficient, accurate, and well-organized billing and revenue cycle process. The
ASC UB-04
Biller will be responsible for preparing and submitting UB-04 institutional claims for outpatient surgical procedures , verifying insurance information, following up on unpaid and denied claims, and ensuring timely reimbursement for services provided at our Ambulatory Surgery Center. The ideal candidate will have hands-on experience with ASC billing and UB-04 claims and will be comfortable working in a growing healthcare environment where attention to detail, organization, and teamwork are essential. Key Responsibilities Prepare and submit accurate
UB-04/CMS-1450
claims for ASC outpatient surgical services . Review patient accounts, medical records, operative documentation, and coding information for completeness and accuracy. Verify insurance eligibility, benefits, authorizations, and payer requirements. Review and apply applicable CPT, HCPCS, and
ICD-10-CM
codes to support accurate claim submission. Ensure claims meet payer-specific requirements and applicable billing guidelines. Monitor submitted claims and follow up on unpaid, rejected, and denied claims. Research and resolve claim denials and billing discrepancies and resubmit or appeal claims when appropriate. Communicate with insurance companies regarding claim status, reimbursement, denials, and payment issues. Maintain accurate documentation of billing activity, claim follow-up, adjustments, and collections. Work closely with ASC administrative, clinical, coding, and front-office staff to resolve billing and documentation issues. Maintain accurate patient and insurance information in EMR/EHR and billing systems. Help establish and maintain organized billing workflows as the ASC continues to grow. Stay current with payer requirements, ASC billing practices, coding guidelines, and reimbursement policies. Requirements Minimum 2 years of medical billing experience , preferably in an Ambulatory Surgery Center, outpatient surgical facility, or hospital outpatient setting . Hands-on experience with
UB-04/CMS-1450
institutional claims . Strong understanding of ASC and outpatient surgical billing . Knowledge of CPT, HCPCS, ICD-10-CM, and medical terminology . Experience with insurance verification, authorizations, claim submission, denials, appeals, and payment follow-up. Experience working with commercial insurance, Medicare, Medicaid, and other healthcare payers. Proficiency with medical billing software and EMR/EHR systems . Strong Microsoft Office skills, particularly Excel, Word, and Outlook . Excellent attention to detail and organizational skills. Ability to manage multiple claims and accounts while meeting deadlines. Strong communication and problem-solving skills. Ability to work independently and collaborate with a growing ASC team. Knowledge of HIPAA and healthcare billing compliance requirements. Why Join Us? As a newer and growing Ambulatory Surgery Center , we are building our operations with a focus on providing high-quality outpatient surgical services and creating efficient processes from the ground up. This position offers an opportunity to become an important part of our team, contribute your billing expertise, and help develop an organized and effective ASC revenue cycle as our center continues to grow. If you are an experienced medical biller with ASC and UB-04 experience and enjoy being part of a growing healthcare organization, we would like to hear from you.
Pay:
$25.00 - $30.00 per hour Expected hours: 10.0 - 24.0 per week
Experience:
UB-04
Billing:
2 years (Required) Shift availability: Day Shift (Required)