Billing Support Specialist chez Surgical Information Systems

For over 29 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS).  
 

Serving over 2,700 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.
 

Recognized as the No. 1 ASC EHR vendor by Black Book for 10 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.
Discover how SIS can help you Operate Smart™ at sisfirst.com.

THIS IS A REMOTE POSITION

ESSENTIAL DUTIES/ 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

EDUCATION DESIRED:

High school graduate or GED certification

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

• 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

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

• 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