Medical Billing & Office Payments Specialist

Surgery Partners; Wauwatosa (WI); On-site; USD 42,000 - 56,000; Full time

Job summary

Surgery Partners seeks a Medical Billing/Business Office Representative to support a small physician's office. You will coordinate third‑party billing, process payments, and manage insurance verification to ensure accurate cash flow and timely collections.

The ideal candidate has 3+ years in healthcare administration with accounts receivable experience and a detail‑oriented, fast‑paced work style. Excellent communication with patients, insurers, and providers is essential; hours are Monday

Qualifications

• High school diploma or equivalent required.
• At least three years of administrative and clerical experience in a healthcare office setting (medical billing) required, providing excellent customer service.
• 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

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 toinsurance 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

Skills

Medical billing

Accounts Receivable

Customer service

English communication

Education

High school diploma

Associates degree preferred

Job description

Surgery Partners seeks a Medical Billing/Business Office Representative to support a small physician's office. You will coordinate third‑party billing, process payments, and manage insurance verification to ensure accurate cash flow and timely collections.

The ideal candidate has 3+ years in healthcare administration with accounts receivable experience and a detail‑oriented, fast‑paced work style. Excellent communication with patients, insurers, and providers is essential; hours are Monday