RCM Accounts Receivable III

🔥 5 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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AMSURG

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

🏢 Enterprise

Healthcare • B2B • Enterprise

AMSURG is the nationally recognized leader in the strategic and operational management of ambulatory surgery centers (ASCs), providing high-quality, high-value same-day surgical services and a superior patient experience. The company partners with physician groups and health systems to form joint ventures and manages ASC operations, including anesthesia services and specialty centers for gastrointestinal, ophthalmology and orthopedic procedures. AMSURG emphasizes quality, consensus management with physician partners, and scalable operational expertise across the U. S.

📋 Description

• Follow up on outstanding claims and appeals • Work escalation views • Review Vendor Clarification logs • Provide employee and vendor training • Act as a knowledge resource for team members • Work Claim Ack Rejections, Claim Edits, and Charge Corrections • Call patients for payment or payment arrangements • Print and re-file claims as needed • Work correspondence daily • Maintain continuing education and industry career development training • Meet or exceed productivity standards • Answer incoming telephone calls from patients, insurance companies, and physician offices • Research and audit patient accounts for further payment or adjustments • Work KAM reports as assigned • Become proficient in the accounts receivable collector queue within 30–60 days of employment • Work 40–50 accounts daily with at least 90% accuracy and meet department productivity standards • Calculate billing units and reimbursement amounts • Maintain confidentiality and comply with company policies, code of conduct, ethics statements, and corporate mandates • Complete mandatory training programs • Report suspected or actual violations of compliance policies and other prohibited activities • Obtain policy clarification and use Compliance, Human Resources, or Legal resources when necessary

🎯 Requirements

• High School graduate or equivalent • 3 to 5 years’ experience in a healthcare insurance receivables environment • Two - three years collection experience required • Associate or bachelor’s degree in business administration or related field preferred • Two years posting, coding or accounts receivable collection experience in a health care organization preferred • Working knowledge of CPT, ICD-9 and ASA codes • Strong mathematical, research, analysis, decision making and problem-solving skills • Strong data gathering and reporting skills • Working knowledge of medical terminology, insurance processing guidelines and laws • Advanced understanding of commercial, Medicare and Medicaid payers • Working knowledge of TWCC guidelines and laws, commercial managed care insurance, Medicare and Medicaid guidelines • Strong interpersonal, verbal and written communication skills • Ability to work independently with limited supervision • Advanced understanding of claim needs and ability to accurately perform billing activities, including evaluation/correction of billing edits, claim transmission, rejections, and other claim functions • Knowledge of Microsoft Office Suite, including Word and Excel • Ability to maintain strict confidentiality and adhere to company policies and procedures

🏖️ Benefits

• Paid Time Off • 9 observed holidays • Paid family leave • Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Healthcare FSA • Dependent Care FSA • Limited Healthcare FSA • Transportation and parking FSAs • Health Savings Accounts (HSAs) • Matching 401(k) plan • Professional training and career development opportunities • Employee benefits, recognition, and opportunities for professional growth