Medical Billing/Business Office Rep

Surgery Partners, Inc; Milwaukee (WI); On-site; USD 42,000 - 54,000; Full time

Job summary

Surgery Partners, Inc is seeking a motivated Business Office Representative to support the financial and operational functions of a small physician practice. The role focuses on efficient billing, accurate insurance verification, payment processing, and routine reporting.

Ideal candidates are analytical, detail-oriented, and able to thrive in a fast-paced environment. Responsibilities include insurance billing, verification, patient payments, and AR follow-up, with collaboration across the

Qualifications

• High school diploma or equivalent required; Associate's degree in office administration or related field preferred.
• At least three years administrative and clerical experience in a healthcare office setting with medical billing.
• Two or more years of Accounts Receivable experience, orthopedic and pain management billing desirable.
• Strong medical insurance coordination, eligibility verification, and benefits administration skills.

Responsibilities

• Performs duties related to the insurance billing function of the business office.
• Completes accurate and timely insurance verification.
• Processes patient, insurance, and other payments as directed.
• Prepares weekly and monthly reports on third-party billings.
• Maintains office files and supports staff with coverage and training.
• Escalates financial clearance risks and refers patients to appropriate teams as needed.

Skills

Customer service

Attention to detail

Communication skills

English proficiency

Education

High school diploma or equivalent

Associate's degree in office administration or related field

Tools

Accounts Receivable software

Job description

Job Summary/Responsibilities

The Business Office Representative supports the financial and operational functions of a small physician's office by coordinating third-party billing and processing payments for the business office.

This role focuses on improving efficiency, ensuring accurate billing and collections, and supporting day-to-day business office operations. The ideal candidate is analytical, detail-oriented, and comfortable working in a hands-on, fast-paced practice environment.

Primary Responsibilities

• Performs duties related to the insurance billing function of the business office
• Completes accurate and timely insurance verification.
• Processes patient, insurance, and other payments as directed
• Prepares weekly and monthly reports on third-party billings
• Prepares weekly and monthly reports account pending diagnoses and late charges.
• Performs insurance follow-up procedures.
• Performs other specified clerical or administrative duties as assigned
• Completes the business office work activities assigned daily in a timely fashion
• May maintain office equipment, including cleaning, maintenance, and repairs as needed
• Answers phones, sorts and distributes mail, and prepares documents
• Maintains office files; implements an efficient system for other staff
• Ensures services scheduled by outside providers have approved authorization as required by payer and procedure prior to service
• Communicates with patients, insurers, and other appropriate parties pertaining to insurance verification and authorization
• Escalates financial clearance risks as appropriate in compliance with the Financial Clearance Program
• Refers underinsured/uninsured patients and/or point-of-service pre-payment required services to the Pre-Service Patient Financial Responsibility and/or Financial Assistance team(s) to determine if the patient is eligible for assistance and obtain payment prior to services being received, when applicable, to help manage the organization's bad debt
• Creates a positive patient experience by being polite, compassionate, and professional
• Provides cross-coverage and training, when needed, for other team members
• Maintains productivity and quality performance expectations
• Regular attendance is required to carry out the essential functions of the position
• Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge, and abilities to perform, within scope, role-specific functions
• Performs other duties, tasks, and responsibilities as assigned

Education/Qualification Requirements

• High school diploma or equivalent required; Associate's degree in office administration or related field preferred
• At least three years of administrative and clerical experience in a healthcare office setting (medical billing) required, providing excellent customer service. Understanding of physician office workflows and revenue cycle processes
• Two or more years of Accounts Receivable experience required, with orthopedic and pain management billing experience highly desirable
• Well-developed skills in medical insurance coordination, eligibility verification, and benefits administration

Physical/Mental Demands

• Able to read, write and communicate in English
• Have cognitive skills for math, decision making and excellent communication skills
• Potential for contact with chemicals, blood borne pathogens, and exposure to infectious disease.
• Office-based position in a multi-specialty physician
• Frequent interaction with patients, staff, and providers
• Primarily sedentary work with computer-based tasks

ENVIRONMENTAL/WORKING CONDITIONS

The work environmental characteristics described above are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Work Location- In Person, Mayfair Clinic 3077 N Mayfair Rd, Wauwatosa WI

Hours- FT, Monday through Friday.