Description
AMSURG is a nationally recognized leader in the strategic and operational management of ambulatory surgery centers with medical specialties ranging from gastroenterology to ophthalmology and orthopedics. With more than 250 surgery centers across the U.S., we partner with physicians and health systems to deliver the highest standards of patient care and quality.Β For more information, please access our website:Β https://www.amsurg.com/.
Through AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.
Benefits:
At AMSURG, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. Qualifying employees are eligible to enroll on the 1stΒ of the month, following 30 days of employment. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.
Paid Time Off:
AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.
POSITION SUMMARY:
Position is responsible for collecting patient and payer balances. The duties include but are not limited to the
follow-up of accounts, verifying and updating information and assisting in completing special projects during
month-end and year-end financial reporting process.
ESSENTIAL RESPONSIBILITIES:
ο· Follow-up on open balances listed on monthly AR and Payer Follow-up reports.
ο· Review and update patient demographics and payer information as necessary for completion of claims
payment.
ο· Responsible for transferring balances and printing claims.
ο· Generate correspondence to payers such as appeals and payments.
ο· Promptly identify any errors or other issues in claims processing
ο· Effectively following up on any unpaid balances
ο· Expeditiously bringing any remaining balance to resolution.
ο· Meet quality assurance and productivity standards by identifying and reconciling insurance balance accounts
ο· Review explanations of benefits details on denials
ο· Communicate with insurance payer representatives, patients, and center staff to ensure timely and accurate
resolution of account transactions.
ο· Prioritize assigned accounts to maximize aged accounts receivable resolution
ο· Review explanation of benefit (EOB) documentation and notate accounts on collection activity to perform
account resolution
ο· Receive inbound patient calls regarding financial responsibility
ο· Must be able to prioritize and work independently
ο· Be able to work projects and complete projects within a reasonable time frame
ο· Be able to understand the revenue cycle process and how it relates to payers and patients.
ο· Be able to review claims and understand the denial process and what is required to work a denial to obtain
payment for the center.
ο· Attend in-services, seminars and webinars for additional education and performance improvement.
ο· Regular and reliable attendance required.
KNOWLEDGE AND SKILLS:
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily.
The requirements listed below are representative of the knowledge, skills and/or abilities required.
Education/Experience:
High school education or GED with minimum of two (2) yearsβ experience in accounts receivables collections
preferred. Knowledge of medical terminology and managed care billing guidelines is required.
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