Medical Collection Specialist

Overview

USPI San Antonio Endoscopy Center is seeking a motivated Collection Specialist to join our team. We have 5 OR rooms and 1 Procedure room. We have 1 OR room and 3 Treatment rooms. We perform outpatient surgical procedures in Gastroenterology. Position requires Weekdays only — no holidays, weekends, or call. Some early mornings and later evenings may be required; schedule subject to change based on surgical schedule and flow of the day.

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.

Responsibilities

• 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.

Qualifications

Details

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