Surgery Partners, Inc

• Working denials, appeals, and aging report • Following up on medical claims that have not been paid timely • Contacting insurance companies to see why claims have not been processed • Sending medical records • Contacting patients regarding additional information needed to process claims • Working with coding on denials.

• Drive revenue cycle management performance across a designated set of 4–6 hospitals. • Develop and execute a strategic roadmap focused on efficiency, quality, and financial performance. • Lead and facilitate revenue cycle meetings, including denials management sessions. • Partner with multidisciplinary teams—including hospital and national leadership, as well as third-party vendors—to achieve revenue cycle improvement goals. • Promote an inclusive culture by identifying, sharing, and implementing best practices across process and operations teams. • Deliver measurable improvements and financial benefits through continuous improvement methodologies. • Serve as a change agent, clearly communicating and embedding continuous improvement initiatives. • Eliminate process inefficiencies and strive to enhance customer satisfaction using proven tools and methodologies. • Adapt quickly to scope, priority, and timeline changes while maintaining focus on business performance. • Establish trusted advisor relationships with client stakeholders and hospital leadership. • Prepare and deliver executive-level presentations to both internal and external stakeholders. • Motivate and inspire project stakeholders with positivity, collaboration, and accountability. • Stay current on industry trends, regulations, and changes related to healthcare billing and reimbursement.

• Leads complex projects and strategic initiatives from initiation through implementation. • Defines project scope, objectives, deliverables, timelines, budgets. • Develops and maintains project plans, resource plans, and status reports. • Coordinates cross-functional teams to drive alignment and project execution. • Manages sourcing and procurement-related project activities. • Monitors project progress, milestones, dependencies, and deliverables. • Oversees project financial management activities. • Identifies, assesses, and manages project risks and issues. • Develops and executes communication plans.

• Leads complex projects and strategic initiatives from initiation through implementation, deployment, and transition to operational or support teams. • Defines project scope, objectives, deliverables, timelines, budgets, and resource requirements to ensure successful execution and measurable business outcomes. • Develops and maintains project plans, resource plans, status reports, and related project documentation utilizing project management tools and methodologies. • Coordinates cross-functional teams, including procurement, field operations, corporate departments, vendors, and external partners, to drive alignment and project execution. • Manages sourcing and procurement-related project activities, including tracking sourcing initiatives, RFP events, and related deliverables as applicable. • Monitors project progress, milestones, dependencies, and deliverables to ensure commitments are met within established time, cost, quality, and scope parameters. • Oversees project financial management activities, including budget tracking, resource forecasting, expenditure reconciliation, and financial reporting. • Leads project governance activities by facilitating project meetings, presenting updates, and representing initiatives in governance and cross-functional forums. • Identifies, assesses, and manages project risks, issues, and mitigation strategies to minimize operational and business impact. • Develops and executes communication plans to provide stakeholders with regular project updates, status reporting, issue resolution, and decision support. • Recommends process improvements, operational enhancements, and project adjustments to improve efficiency, project outcomes, and overall business performance.

• Research unpaid claims, determine denial root cause, and perform appropriate follow up actions to ensure timely claim adjudication. • Identify and take appropriate action for the billing of secondary or tertiary insurances. • Keeps informed on all current applicable third-party payer regulations and requirements. • Communicate payer trends and patterns to management. • Document within a patient’s record all actions taken related account resolution. • Review, comprehend and execute payer logic within negotiated contracts. • Prioritize workflow to reduce or eliminate bad debt flow resulting in a reduction in days in AR. • Meet and maintain productivity and audit standards. • Other duties as assigned by management.

• Supervises daily operations of SSC collections team. • Assists the AR Manager in implementing and monitoring departmental policies and procedures including QA assessments on staff. • Assists training team in developing training programs and materials for staff. • Works with manager to draft team evaluations as well as participate in drafting and delivering disciplinary actions. • Keeps informed on all current applicable third-party payer regulations, requirements, and state laws and guidelines. • Informs management and other staff members of changes and keeps documentation current and accessible. • Identifies any payer trends and resolves or escalates as appropriate. • Supervises the effort to successfully reduce days in A/R and meets productivity goals.

• Drive Revenue Cycle Management Performance for Designated Set of Hospitals/ ASC’s or Clinics • Assist with Developing strategic roadmap focused on efficiency and quality for assigned projects. • Serve as change agent by communicating and institutionalizing continuous improvement initiatives within process and operations teams • Assist with facilitating Key Revenue Cycle Meetings & Denials Mgmt. Sessions • Support inclusive culture by seeking to understand, share, and institutionalize best practices across process and operations teams • Deliver significant and quantifiable improvement and financial benefit across the organization. • Manage through a Multi-Disciplinary team of local leadership, National leadership and other key individuals needed to drive Revenue Cycle improvements – including any Third Party Vendors in use for Rev Cycle Services. • Focus on business performance that constantly strives to eliminate waste, improve customer satisfaction via the use of continuous improvement tools and methodologies. • Client Facing: Easily establish client relationships and becoming their trusted advisor • Create executive level presentations for internal and external clients regarding project status updates • Ability to adapt to scope, priority and timeline changes • Can motivate project stakeholders to inspire with positivity and encouragement • Stay up-to-date on industry trends and changes in regulations related to healthcare billing and reimbursement.

Role Description The AR Biller is responsible for preparing, submitting, and managing invoices to ensure timely payment from clients or insurance providers. This role involves verifying billing data, resolving discrepancies, and maintaining accurate financial records. Salary Range: $21.00 - $31.50 per hour, based on skill and experience level. Key Responsibilities: - Generate and submit accurate invoices to customers or third-party payers - Review billing data for completeness and accuracy before submission - Follow up on unpaid invoices and resolve billing issues - Post payments and reconcile accounts receivable balances - Communicate with clients, insurance companies, or internal departments regarding billing inquiries - Identify and correct billing errors or discrepancies - Maintain up-to-date customer account records - Prepare aging reports and assist with collections efforts - Ensure compliance with company policies and relevant regulations Qualifications - High school diploma or equivalent (Associate’s or Bachelor’s preferred in accounting or finance) - Proven experience in billing, accounts receivable, or a related role - Strong attention to detail and accuracy - Basic knowledge of accounting principles - Proficiency in billing software and Microsoft Excel - Excellent communication and problem-solving skills - Ability to manage multiple tasks and meet deadlines Requirements - Experience in medical billing or insurance claims (if applicable) - Knowledge of coding systems (for healthcare billing roles) Benefits - PTO - 401(k) retirement plan with a company match - And more! Company Description Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

• Provide leadership and mentorship to the corporate accounting team, fostering a culture of continuous improvement and professional development. • Lead the corporate accounting close process, including preparation, review and approval of journal entries and account reconciliations. • Manage the revenue recognition workflow and contract compliance related to management fees and transition services agreements. • Partner with FP&A and other internal stakeholders to develop departmental cost allocations, maintain complex accruals and address coding issues / misclassifications. • Review and provide support for financial statement variances and monthly AvB analytics. • Analyze current processes and work collaboratively to deliver continuous improvement around standardization, scalability, and automation. • Represent the Finance Team and provide subject matter expertise for special projects and system implementations. • Ensure compliance and effective internal controls in accordance with SOX audit program. • Work with external auditors to explain policies and procedures as well as provide supporting documentation upon request.

• Maintains accurate and current files and databases • Manages RMIS (RisKonnect) and is subject matter expert • Serves as liaison between OH BWC and SP • Maintains SharePoint site • Subject matter expert for patient compensation funds • Participates in reconciling audits performed by insurance carriers and is familiar with large retention insurance programs across multiple lines of coverage • Functions as an insurance liaison, advisor and resource person for department administrators, and other personnel • Oversee the processing of insurance claims, ensuring that all claims are handled efficiently, accurately, and in compliance with applicable laws and regulations • Proactively manages claims from start to finish, identifying any potential issues or delays, financial implications, and ensuring timely resolution • Identifies area for process improvement and risk mitigation