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Surgical Information Systems, LLC

Billing Support Specialist

Surgical Information Systems, LLC, Cape Coral, Florida, United States, 33990

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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

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

Have a clear understanding of the insurance collection process

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

Be 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

Post 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

Proven experience working payer rejections at the time of billing, including 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 a favorable company image with patients, insurance companies, and the 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)

Working knowledge of IPAs and health plans is required

Comfortable with electronic and manual payor follow‑up

Able to quickly identify trends and escalating, as appropriate

Ability to read, analyze and interpret insurance plans, financial reports, and legal documents

BENEFITS

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

We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses.

Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.

At this time we are unable to sponsor H1B candidates.

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