Surgical Collector
Surgical Collector
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Job Description
ENT and Allergy Associates LLP and Quality Medical Management Services USA LLC is seeking a self-motivated people-friendly full time Surgical Collector for our Corporate office location.
The Surgical Collector job responsibilities include:
- Working the assigned physician A/R reports and contacting the insurance carriers via phone or online to follow up on claim status verify insurance information and eligibility;
- Working the daily payment and adjustment report
- Working the 0.00 payment report and working this on a daily basis
- Submitting written appeals to insurance carriers for various claim denials;
- Reviewing charges for accuracy and proper modifiers and tasking PSAs for any corrections needed;
- Providing allowed amounts to surgical coordinators for deductible collection procedures prior to surgery;
- Contacting patients for collections of self pay balances coinsurance unpaid deductibles etc.;
- Reviewing all surgery payments for accuracy and adjusting surgery claims according to the various insurance contracts;
- Scanning all insurance/patient correspondence received/sent into NextGen and attaching to the patients chart thru ICS;
- Working insurance correspondence which may require contacting the carrier posting transactions in the system generating tasks to the PSAs for information requested by the insurance company (ie: office notes pre-existing forms);
- Reporting all unresolved issues to their immediate manager by status report
- Working any projects as priority when given by immediate supervisor and manager (DSO high dollar accts)
- Following up on a monthly basis with their immediate manager for any special projects out to the provider rep that would affect their doctors claims
**Prior experience with medical insurance collections required.***
We offer a superior benefits package including excellent medical and dental coverage.
About ENT and Allergy Associated LLP (ENTA)
ENT and Allergy Associates LLP is the largest and most comprehensive ear nose throat allergy and audiology practice in the nation with 46 offices and over 220 physicians. Each ENT and Allergy Associates clinical location provides access to a full complement of services including General Adult and Pediatric ENT Voice and Swallowing Facial Plastics and Reconstructive Surgery Disorders of the Inner Ear and Dizziness Asthma Clinical Immunology Diagnostic Audiology Hearing Aid dispensing Sleep and CT Services. ENTA has a clinical alliance with The Mount Sinai Hospital for the treatment of diseases of the head and neck and esophageal cancer and a partnership with the American Cancer Society to educate and treat patients with smoking disorders and cancer. The Practice has also expanded its clinical capabilities to include advanced Immunodeficiency trials.
About Quality Medical Management Services USA LLC (QMMS USA)
Backed by over 20 years of experience Quality Medical Management Services USA offers healthcare consultancy services in the area of medical staff operations practice management ancillary service revenue enhancement compliance records management and business applications. QMMS USA provides a seasoned team to offer leading edge healthcare business management. QMMS USA implements best practices throughout to ensure success.
To learn more about Quality Medical Management Services USA please visit:
To learn more about the benefits of ENT and Allergy Associates or to conveniently find an ENT doctor or Allergy Doctor and then easily book an appointment at the nearest New York or New Jersey location please visit: or contact us at:
ENT and Allergy Associates LLP
660 White Plains Road Suite 400
Tarrytown NY 10591
Tel:
Fax:
Employment Type
Full-Time
