Company: USPI - Northwest Georgia SC
Posted on: November 21, 2022
*Northwest Georgia Surgery Center* is looking for a motivated
performer to join our Business Office team as a Collections
Specialist, with an extensive knowledge of claims reimbursement and
collection efforts for Managed Care, Medicare, Medicaid, Workers
Comp, Commercial plans, etc. We are looking for a top performer
with an extensive knowledge of billing, collections and
reimbursement of claims processing.
This is a fast paced environment committed to producing the highest
quality work for our surgery center. An ideal candidate will be
personable and courteous.
We are looking for a competent Collection Specialist to contact
clients and collect outstanding payments. You will struck a balance
between maintaining trustful relationships, and ensuring timely
Our Collection Specialist should exhibit professionalism and
trustworthiness. You should have excellent communication and
negotiation skills, as well as an ability to work independently and
interdependently with other business office staff. We are seeking
to fulfill this need in a part time capacity?
*JOB SUMMARY: *
Under the direction of the Business Office Manager, the Collections
Specialist is responsible for follow up on delinquent surgery
center claims), 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 that have been either under or
over paid, issuing credit balance information either to the
insurance carrier or the patient. All of these practices 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.
Our competitive salary and benefits package includes medical and
dental insurance, 401(k), paid time off and life insurance.
*EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS: *
* 1 year 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
* Ability to work independently.
* Excellent communication skills and interpersonal skills.
* Skilled in time management and prioritization of emergent
* Good customer service skills, always demonstrates
* Comfortable utilizing critical thinking skills.
* Typing 45-60 WPM.
* High School Diploma or equivalency.
* Proficient with Microsoft Office products.
* Experience with electronic patient information systems.
* 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
Job Type: Full-time
* 401(k) matching
* Dental insurance
* Disability insurance
* Employee assistance program
* Health insurance
* Life insurance
* Paid sick time
* Paid time off
* Referral program
* High school or equivalent (Preferred)
* electronic patient information systems: 1 year (Preferred)
* healthcare insurance collections: 1 year (Preferred)
Work Location: On the road%58047475%
Keywords: USPI - Northwest Georgia SC, Marietta , Collections Specialist, Accounting, Auditing , Marietta, Georgia
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