Insurance - Accounts Receivable Specialist
Insurance - Accounts Receivable Specialist
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Salary Not Disclosed
1 Vacancy
Job Description
SURGICAL NOTES IS NOW PART OF SURGICAL INFORMATION SYSTEMS
Since 1996 Surgical Information Systems (SIS) has been dedicated to providing surgical care providers with the solutions and services they need to deliver improved operational financial and clinical outcomes. Focused exclusively on perioperative IT SIS serves over 2200 facilities across the US and Canada.
The SIS product suite is built specifically for the perioperative environment and includes hospital and ASC-focused solutions covering perioperative Electronic Health Records (EHRs) Anesthesia Information Management Systems (AIMS) ASC business management business intelligence and analytics solutions and revenue cycle services. SIS has been recognized by Black Book Research for nine consecutive years as the No. 1 ranked ASC Technology Vendor1. SIS received the Best in KLAS Award in 2022 and 2023 in the ASC Solutions category for SIS Charts SIS EHR solution. SIS has been recognized as one of the Top 100 Healthcare Technology Companies by The Healthcare Technology Report and as a Top Workplace US by Energage for four years in a row (2021-2024).
For more information .
SIS the SIS logo and Surgical Information Systems are trademarks of Surgical Information Systems LLC. AmkaiSolutions AmkaiCharts AmkaiOffice and AmkaiAnalytics are trademarks of Amkai LLC. AdvantX Vision and SurgiSource are trademarks of Source Medical. Other company and product names may be trademarks of their respective owner.
1Black Book Research: Top User-Rated Technology Solutions: Ambulatory Surgical Centers February 2024 Top Client/User-Rated Digital Solutions: Ambulatory Surgery Centers February 2023 Top Technology Solutions: Ambulatory Surgical Centers March 2022 Top Technology Solutions: Ambulatory Surgical Centers March 2021 Top Technology Solutions: Ambulatory Surgical Centers February 2020 Top Technology Solutions: Ambulatory Surgical Centers April 2019 Top Ambulatory Electronic Health Records Solutions: Ambulatory Surgical Centers April 2018 Top Electronic Medical Records/Electronic Health Records Vendors April 2017 & Top Ambulatory Electronic Health Records Vendors Comparative Performance Result Set of Top EHR Vendors May 2016.
Surgical Notes a Surgical Information Systems Company is seeking a AR Specialist to assist with timely follow-up and collection on our clients third-party payor accounts be responsible for collection efforts on Insurance Accounts. Will handle the accounts receivablefor Ambulatory Surgical Centers Urgent Care and occasionally Professional Care submit appeals and research denials from Insurance Carriers.
- Work through book of AR and develop plan for maintaining proper coverage on all accounts for multiple types of payers.
- Meet productivity requirements of 25 accounts per day and 95% quality
- Follow up denials and underpayments received within 24 hours by researching steps previously taken and take additional action as needed to resolve the claim.
- Review aged accounts trace and appeal unpaid and/or erroneously paid or denied accounts
- Work all denials and underpayments received within 24 hours by researching steps previously taken and take additional action as needed to resolve the claim.
- Demonstrated experience with writing appeals initiating appeals/follow-up on appeals
- Must be comfortable interacting with insurance representatives
- Excellent organizational communication & time management skills
- Knowledge of managed care contracts (i.e fee schedules and allowables)
- Experience working with non-participating providers
- Obtain pre-authorizations as needed.
- Work tickler accounts daily to ensure overall health of client accounts receivable.
- Review and address correspondence daily including emails from clients
- Identify trends and inform client lead/manager as appropriate
- Escalate issues to client lead/manager as appropriate
- Must have a clear understanding of the insurance collection process
- Ability to solve problems associated with tasks
- Nothing in this job description restricts managements right to assign or reassign duties and responsibilities to this job at any time
BENEFITS:
- Benefit package including Medical Vision Dental Short Term Disability Long Term Disability and Life Insurance
- Vacation/Sick time
- 401(k) retirement plan with company match
- Paid Holidays
- SIS Cares Day
- Hybrid or Remote environment depending on the role
SPECIFIC KNOWLEDGE & SKILLS REQUIRED:
- Knowledge of all medicalbilling insurance guidelines and appeals processrequired
- HealthcareInsurance Collectingexperience
- Experience working with surgical claims and denials
- Knowledge of computers and Windows-driven software (MS Word Excel and Outlook)
- Excellent command of written and spoken English
- Strong attention to detail and speed while working within tight deadlines
- Exceptional ability to follow oral and written instructions
SPECIFIC KNOWLEDGE & SKILLS DESIRED:
- Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
- A working knowledge of IPAs and health plans is required.
- Comfortable with electronic and manual payor follow-up.
- Able to quickly identify trends and escalate as appropriate.
- Ability to read analyze and interpret insurance plans financial reports and legal documents
We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race color religion sex national origin sexual orientation gender identity age disability protected veteran status and all other protected statuses.
Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.
At this time we are unable to sponsor H1B candidates
Required Experience:
Unclear Seniority
Employment Type
Full-Time
