Specialty Biller and Coder - Remote

Surgery Partners, Inc; Nashville (TN); On-site; USD 45,000 - 60,000; Full time

Job summary

Surgery Partners, Inc. is seeking a Billing and Coding Supervisor to oversee claims processing and ensure accurate billing across the organization. You will resolve disputed claims, verify data, and work with internal teams to improve reimbursement outcomes.

The ideal candidate has at least two years of medical office billing experience, knowledge of E/M coding, and familiarity with payer requirements. A high school diploma is required, with billing certification preferred.

Qualifications

• High school diploma required.
• Minimum of two years of experience with medical office billing procedures.
• Billing certification preferred.

Responsibilities

• Resolves disputed claims by gathering, verifying, providing information, and following up.
• Resolves discrepancies by examining data and selecting corrective steps.
• Maintains operations by following policies and reporting compliance issues.
• Keeps quality results by adhering to company standards.
• Keeps knowledge current on Medicaid/Medicare billing and reimbursement procedures.
• Performs other assigned duties as needed.

Skills

Claim information gathering

Utilization problem solving

Written and verbal communication

Customer relations

Windows based software systems

Education

High school diploma

Job description

SUPERVISION RECEIVED

Billing and Coding Supervisor

Education/Experience

• High school diploma.
• Minimum of two years of experience with medical office billing procedures.
• Billing Certification preferred.

Knowledge

• Knowledge and understanding of Physician E&M billing and coding required.
• Certified Coder preferred.
• Knowledge of clinic policies and procedures.
• Knowledge of 3rd party payers, Medicare, Medicaid Billing/Collections, HCPC, CPT, and ICD-9 coding.
• Knowledge of computer systems, programs, data entry, and spreadsheet applications.
• Knowledge of medical terminology and analyzing information.
• Knowledge of collection practices.
• Knowledge of governmental, legal, and regulatory provisions related to collection activity.

Essential Functions

• Resolves disputed claims by gathering, verifying, providing additional information, and following-up on claims.
• Resolves discrepancies by examining and evaluating data and selecting corrective steps.
• Maintains work operations by following policies and procedures and reporting compliance issues.
• Maintains quality results by following standards set forth by the company.
• Updates job knowledge by participating in educational opportunities, reading professional publications, keeping current on Medicaid/Medicare billing, and reimbursement procedures.
• Other assigned duties as assigned.

Skills

• Skills in gathering and reporting claim information.
• Skills in solving utilization problems.
• Skills in written and verbal communication, as well as customer relations.
• Skills in working with Windows based software systems

Performance Expectations

• Ability to work effectively with medical staff and external agencies.
• Ability to identify, analyze, and solve claim issues.
• Ability to deal courteously and professionally with internal and external customers.

Benefits

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

ENVIRONMENTAL/WORKING CONDITIONS

Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

• If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.
• No Recruiters Please