Note: This is a PRN position.
POSITION SUMMARY
The Surgery Center Biller/Collector is responsible for timely submission of claims to insurance companies from a wide variety of medical providers and facilities, as well as monitoring and ensuring payments for medical services are received in a timely manner. The Surgery Center Biller/Collector may also function as an intermediary between healthcare providers, clients, patients and health insurance companies.
ESSENTIAL FUNCTIONS
Reasonable Accommodations Statement
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.
Essential Functions Statement(s)
1. Reviews patient bills for accuracy and completeness, and obtains any missing information
2. Prepares, reviews, and transmits claims and calls insurance companies regarding any discrepancies
3. Follows up on unpaid claims within standard billing cycle timeframe
4. Checks each insurance payment for accuracy and compliance with contract discount
5. Researches and appeals denied claims
6. Answers all patient or insurance telephone inquiries pertaining to assigned accounts
7. Reviews accounts and follows up on unpaid claims
8. Sets up patient payment plans and works collection accounts
9. Regular and predictable attendance
10. Ability to work in a cooperative manner with others
11. Performs other duties as assigned
SKILLS & ABILITIES
Education: High School Graduate or GED required
Experience: Medical collection experience required. Must have experience in Denials, Accounts Receivable, and Appeals.
Computer Skills: Must be computer literate. Basic computer skills required.
Campbell Clinic Benefit Summary:
Campbell Clinic offers a lucrative benefit package to support employees and their families.
- Medical / Dental / Vision Insurance
- HRA Option
- Flexible Spending Account
- Basic Life Insurance
- Voluntary Life Insurance Option
- Long-Term Disability
- Voluntary Short-Term Disability
- Accident Insurance
- Critical Illness Insurance
- 401(k) Plan Matching + Profit Sharing
- Employee Assistance Program
- Paid Time Off
- Personal/Sick Time
- Paid Holidays
ADA Disclaimer: In developing this job, description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.
Equal Opportunity Employer/Veterans/Disabled
Skills Required
- High school diploma or GED
- Medical collections experience
- Experience with denials, accounts receivable, and appeals
- Basic computer literacy
What We Do
Campbell Clinic is recognized as a national leader in sports medicine, pediatric orthopaedics, joint replacement, orthopaedic oncology, physical medicine and rehabilitation, and surgery of the hand, hip, foot, knee, shoulder and spine. We care for patients throughout their life, treating congenital issues as well as bone and joint problems affecting senior adults.
