Collections Specialist

🔥 1 minute ago

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Logo of Surgery Partners, Inc

Surgery Partners, Inc

10,000+ employees

Founded 2004

👥 B2C

🤝 B2B

B2C • B2B

Surgery Partners, Inc. is a leading operator of surgical facilities and ancillary healthcare services, owning and managing more than 250 locations across 30 U. S. states. The company partners with physicians and hospitals to provide ambulatory surgery centers, multi-specialty physician practices, anesthesia services and other outpatient specialty care, serving hundreds of thousands of patients annually. Surgery Partners emphasizes flexible local partnerships (partner, affiliate, or employed physicians) and an integrated delivery model to deliver value to patients, physicians and payors.

📋 Description

• 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.

🎯 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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