What are the responsibilities and job description for the Scheduling/Billing Specialist-Surgery Center Cedar Rapids position at UnityPoint Health?
Overview:
Basic Performance Criteria:
Qualifications:
Experience:
Knowledge/Skills/Abilities:
The Surgery Center Scheduling Billing Specialist will be responsible for receiving and posting patient payments on accounts, perform account review and follow-up with third party payers to ensure accurate and timely payment, follow-up, and collections of patient payments, and with medical insurance, coding, and billing processes.
Why UnityPoint Health?
- Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
- Benefits – Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.
- Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
- Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
- Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve
Hear more from our team members about why UnityPoint Health is a great place to work at https://dayinthelife.unitypoint.or
Responsibilities:
Payment Posting & Account Follow-up:
- Oversee billing and reimbursement for specific Alpha patient accounts - Daily work in RCM
- Insurance follow up - troubleshoot unpaid or denied claims and communicate with insurance via phone or website, read and analyze EOB’s
- Initiate all corrected claims, reconsiderations, inquiries, and appeals (both 1st and 2nd level)
- Review/troubleshoot/correct rejected claims that are rejected by Waystar or the insurance carrier. These are found in the work group folder in Waystar. All edits must be passed to clean the claim and for it to be cleared and loaded for processing.
- Correct or Add insurance information in demographics and correct billing groups and charge corrections in Amkai.
- Liaison to Comp Recovery (gather and fax all info to Blake Beach - invoices, claim, EOR, op notes, implant log)
- Customer service calls to and from patients regarding accounts
- Counsel patients on coverage, cost estimates, patient financial responsibility, and financial assistance applications
Medical Records, Insurance, and Coding:
Respond to Medicare ADR letters for invoices or Medical Records- Upload and fax requested medical records needed to process a claim
- Research and communicate with Regional Reps an insurance companies
- Gather, verify, and enter demographic and billing information for new and established patients to complete the electronic health record and insurance claim for each patient visit
- Demonstrates ability to effectively manage details by accurately completing patient registration and maintaining medical records in all areas of the surgery center
- Gather, verify, and enter demographic and billing information for new and established patients to complete the electronic health record and insurance claim for each patient visit
- Demonstrates ability to effectively manage details by accurately completing patient registration and maintaining medical records in all areas of the surgery center
- Special projects for high dollar procedures
- Must demonstrate an aptitude and interest in registration
- Verifies insurance eligibility and insurance coverage for patients via phone or internetlways protects patient confidentiality.
- Performs Other Duties as Assigned
Basic Performance Criteria:
Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.- Demonstrates ability to meet business needs of department with regular, reliable attendance.
- Employee maintains current licenses and/or certifications required for the position.
- Practices and reflects knowledge of HIPAA, AAAHC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
- Completes all annual education and competency requirements within the calendar year.
- Is knowledgeable of hospital, ASC, and department compliance requirements for federally funded healthcare programs (e.g., Medicare and Medicaid) regarding fraud, waste, and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital and ASC administrative staff. Takes appropriate actionon concerns reported by department staff related to compliance.
Education:
- Must have high dipolma.
Experience:
Knowledge of healthcare billing practices- Experience with computer systems, including Microsoft Office.
- Knowlegdge of medical terminology (preferred but not required).
- Experience with Electronic Medical Record Software (preferred but not required).
Knowledge/Skills/Abilities:
Writes, reads, comprehends, and speaks fluent English- Multicultural sensitivity
- Critical thinking skills using independent judgment in making decisions
- Basic computer knowledge using Microsoft Office, web browser, and email
Other:
Use of usual and customary equipment used to perform essential functions of the position
Marketing Specialist II
Cedar Rapids Bank & Trust -
Rapids, IA
Geospatial Data Specialist I, II or III
City of Cedar Rapids -
Center, IA
Geospatial Data Specialist I, II or III
City of Cedar Rapids -
Rapids, IA
