Revenue Cycle Lead

For over 29 years Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart by delivering innovative software and services that drive clinical financial and operational success. For ambulatory surgery centers (ASCs) SIS provides comprehensive software and services including ASC management electronic health records (EHRs) patient engagement capabilities compliance technology and revenue cycle management and transcription services all built specifically for ASCs. For hospital perioperative teams SIS offers an easy-to-use anesthesia information management system (AIMS).

Serving over 2700surgical facilities SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.

Recognized as the No. 1 ASC EHR vendor by Black Book for 10 consecutive years and honored with the Best in KLAS Award for ASC Solutions in20252023 and2022 SIS remains the trusted choice for surgical providers seeking to enhance their performance.
Discover how SIS can help you Operate Smart at.

Surgical Information Systems is seeking a Revenue Cycle Lead 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 receivableâfor Ambulatory Surgical Centers Urgent Care and occasionally Professional Care submit appeals and research denials from Insurance Carriers.

• ESSENTIAL DUTIES/ RESPONSIBILITIES:

  • Develop strategic initiatives to improve outcomes
  • Develop and distribute client ready reports and materials
  • Ensure accurate billing rules used by the team
  • Work complex issues as they arise
  • Develop processes letters and templates to be used by self and others
  • Familiar with client billing rules and contribute to maintaining billing rules
  • Increased productivity and quality expectations
  • 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 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

  EDUCATION DESIRED:

  High school graduate or GED certification

  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
  • Cooperative work attitude toward and with co-employees management patients and outside contacts
  • Strong attention to detail and speed while working within tight deadlines

  SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

  • 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
    
    

  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

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