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Surgery Partners

Medical Billing/Business Office Rep

milwaukee, WI

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Job description

Business Office RepresentativeThe 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 officeCompletes accurate and timely insurance verification.Processes patient, insurance, and other payments as directedPrepares weekly and monthly reports on third-party billingsPrepares weekly and monthly reports account pending diagnoses and late charges.Performs insurance follow-up procedures.Performs other specified clerical or administrative duties as assignedCompletes the business office work activities assigned daily in a timely fashionMay maintain office equipment, including cleaning, maintenance, and repairs as neededAnswers phones, sorts and distributes mail, and prepares documentsMaintains office files; implements an efficient system for other staffEnsures services scheduled by outside providers have approved authorization as required by payer and procedure prior to serviceCommunicates with patients, insurers, and other appropriate parties pertaining to insurance verification and authorizationEscalates financial clearance risks as appropriate in compliance with the Financial Clearance ProgramRefers 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 debtCreates a positive patient experience by being polite, compassionate, and professionalProvides cross-coverage and training, when needed, for other team membersMaintains productivity and quality performance expectationsRegular attendance is required to carry out the essential functions of the positionReviews and meets ongoing competency requirements of the role to maintain the skills, knowledge, and abilities to perform, within scope, role-specific functionsPerforms other duties, tasks, and responsibilities as assignedEducation/Qualification Requirements:High school diploma or equivalent required; Associate's degree in office administration or related field preferredAt 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 processesTwo or more years of Accounts Receivable experience required, with orthopedic and pain management billing experience highly desirableWell-developed skills in medical insurance coordination, eligibility verification, and benefits administrationPhysical/Mental Demands:Able to read, write and communicate in EnglishHave cognitive skills for math, decision making and excellent communication skillsPotential for contact with chemicals, blood borne pathogens, and exposure to infectious disease.Office-based position in a multi-specialty physicianFrequent interaction with patients, staff, and providersPrimarily sedentary work with computer-based tasksEnvironmental/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 WIHours- FT, Monday through Friday.Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Worksite address

milwaukee, WI, 53222, US

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