What are the responsibilities and job description for the Collection specialist position at USPI?
JOB SUMMARY
Under the direction of the Business Office Manager, the Collections Specialist is responsible for follow up on delinquent surgery center claims and working an expected number of claims per day.
Majority of claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must.
You will be given tools to calculate allowable and required to determine appropriateness of reimbursement and appeal claims as necessary.
Extensive contact with insurance carriers of all types as well as communication with patients regarding out-of-pocket amounts is required.
Identification of accounts which have either been under or over paid, issuing credit balance information to the insurance carrier or the patient.
- These practices shall be done in a professional and communicative manner, per policies and procedures, guidelines, internal control measures and established goals.
- Candidate must be a team player and have ability to communicate well with direct reports, patients, customers, insurance carriers, etc.
- Ability to manage accounts worked independently, and in a productive manner.
- Must project a professional demeanor and appearance while maintaining the confidentiality of the surgery center and patients.
- Works well in stressful environment and in situations that demand patience.
- Projects a professional demeanor and appearance while maintaining the confidentiality of administration, patients, physicians and employees.
- Works under stress and in situations that demand patience and tact while providing impeccable service.
USP-123#LI-CM1Required Skills : Qualifications : 3-4 years previous collections experience, with emphasis on healthcare insurance collections of all types.
Preference shown to previous experience in an ambulatory surgical setting.
Medical terminology.
Prefer previous experience working with Advantx. (Patient Accounting System)
Ability to work independently.
Excellent collunication skills and interpersonal skills.
Skilled in time management and prioritization of emergent situations.
Good customer service skills, always demonstrates professionalism.
Comfortable utilizing critical thinking skills.
Typing 45-60 WPM.
High School Diploma or equivalency.
Proficient with Microsoft Office products.
Prefer previous experience with Electronic Health Record system, but will train.USPI complies with federal, state, and / or local laws regarding mandatory vaccination of its workforce.
If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.
If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Last updated : 2024-08-02
