Surgical Information Systems · 5 hours ago
Billing Support Specialist
United States
Full-time
Remote
New Grad, Entry LevelSurgical Information Systems (SIS) has been empowering surgical providers for over 29 years by delivering innovative software and services. The Billing Support Specialist will be responsible for maintaining site specifics for assigned clients, verifying contract rates for billing, and resolving billing issues to ensure timely claim submissions.
Health CareHospitalSoftware
No H1B
Responsibilities
Maintain site specifics for assigned clients
Be able to verify the correct contract rate is applied to the billing
Work billing rejections in clearinghouses: Waystar
Communicate and supply documentation to coding and billing department including Op notes, implant logs, pathology reports
Be the go between providing document management between coding team, billing team and client to effectively bill claim
Provide feedback, guidance, and training support to billers to correct and prevent charge posting errors
Monitor quality of charge entry and claim submission
Ensure timely filing of claims via electronic submission or paper submission
Resolve and reconcile submissions, rejections and edits daily
Must have a clear understanding of the insurance collection process
Ability to solve problems associated with tasks
Enter charge corrections provided by AR Specialists and rebill to payers as needed
Correct and resend rejected claims
Generate EOM unbilled reporting
Familiar with CPT codes, ICD and modifiers
Calculate pricing for implants and supplies accurately based on site specifics
Communicate professionally with internal and/or external clients
Pull case documents for audits as needed
Posting for Clients with offshore restrictions as needed
Perform other assigned duties
Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time
Qualification
Required
High school graduate or GED certification
Knowledge of medical billing and insurance guidelines required
Proven experience working payer rejections at time of billing including but not limited to commercial, government, out of network, workers compensation, and auto-vehicle
Knowledge of computers and Windows-driven software (MS Word, Excel, and Outlook)
Excellent command of written and spoken English
Cooperative attitude toward and with co-employees, management, patients, and outside contacts
Ability to promote favorable company image with patients, insurance companies, and general public
Strong attention to detail and speed while working within tight deadlines
Exceptional ability to follow oral and written instructions
A high degree of flexibility and professionalism
Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
A working knowledge of IPAs and health plans is required
Comfortable with electronic and manual payor follow-up
Able to quickly identify trends and escalate, as appropriate
Ability to read, analyze and interpret insurance plans, financial reports, and legal documents
Benefits
Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
Vacation/Sick time
401(k) retirement plan with company match
Paid Holidays
SIS Cares Day
Hybrid or Remote environment depending on the role
Company
Surgical Information Systems
Surgical Information Systems has been dedicated to providing surgical care providers with the solutions and services.
Founded in 1996
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2020-10-15Acquired
2020-01-01Series Unknown
2010-12-01Private Equity
Leadership Team
Tom Stampiglia
Chief Executive Officer
John Walker
SVP, Hospital Sales and Operations
Recent News
2025-07-30
Company data provided by crunchbase