Creating exceptional value for our patients, physicians and payors through our unique healthcare delivery model.
Collections Specialist
Location
Tennessee
Posted
1 day ago
Salary
0
Seniority
Mid Level
Job Description
Collections Specialist
Surgery Partners, Inc
• 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. • Communicates 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.
Job Requirements
- High School Diploma or equivalent.
- 2-3 years of medical collections experience preferred.
- Results oriented & thrives in a fast-paced, high-energy environment.
- Ability to develop and maintain good communication and establish positive working relationships with payers, peers, and leadership.
- Strong written and verbal communication skills.
- Knowledge of medical terminology, CPT and HCPCs.
- Proficient in analyzing claims to ensure reimbursement aligns with contractual obligations.
- Ability to organize work and manage change.
Benefits
- Comprehensive health, dental, and vision insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
- And more!
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