Rep RCM Accounts Receivable III

🔥 10 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, training, and industry career development • Meet or exceed productivity standards • Answer incoming 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 • Calculate billing units and reimbursement amounts • Maintain strict confidentiality and comply with company policies, procedures, code of conduct, and corporate mandates • Report suspected or actual compliance, policy, harassment, or prohibited-activity violations • Obtain policy clarification and use Compliance, Human Resources, or Legal resources when necessary • Support AMSURG’s values of excellence, collaboration, ethical responsibility, and engagement

🎯 Requirements

• High School graduate or equivalent • 3 to 5 years’ experience in a healthcare insurance receivables environment • Two - three years collection experience required • 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 skills • Strong verbal and written communication skills • Ability to work independently with limited supervision • Advanced understanding of claim needs and billing activities, including evaluation/correction of billing edits, claim transmission, rejections, and other claim functions • Knowledge of Microsoft Office Suite and PC applications, including Word and Excel • Associate or bachelor’s degree in business administration or related field preferred • Ability to maintain confidentiality and adhere to company policies and procedures

🏖️ Benefits

• Medical, Dental, Vision, Life, and Disability benefits • Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA • Transportation and Parking FSAs • Health Savings Account (HSA) • Matching 401(K) Plan • Paid Time Off (minimum 20 days and up to 25 days per calendar year, depending on position) • 9 observed holidays • Paid family leave • Training and opportunities for professional growth • Recognition programs • Remote work schedule