OCOM - Patient Accounts Representative - Insurance Collector - United Surgical Partners International Inc (USPI)

EVERY DAY GIVING EXCELLENCE

“Each Patient, Each Family, Each & Every Time”

Our staff is committed to creating an environment in which patients not only receive the best quality care but also the highest level of service. The staff works to continuously improve the processes that are important in meeting the needs of patients, their families, our physicians, and their staff.

We are seeking passionate, patient-focused, service-oriented healthcare professionals to join our team!

DESCRIPTION:

We are looking for a motivated performer to join our Business Office team as an Insurance Collector, 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 competentInsurance Collectorto contact insurance companiesand collect outstanding payments. You will strike a balance between maintaining trustful relationships, and ensuring timely payments.

OurInsurance Collector 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.

JOB SUMMARY:

Under the direction of the Business Office Manager, the Insurance Collector 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.

BENEFITS:

At OCOM we recognize our staff as our number one asset, and are proud to offer them:

• • Comprehensive Medical, Dental and Vision Insurance
  • 7 paid holidays.
  • High competitive salaries with bonuses and incentives.
  • Generous PTO accrual program and personal days.
  • FSA & HSA programs.
  • License/Education Reimbursement.
  • Weekends and holidays off.
  • Employee Discount Program on travel, shopping, daycare, and much more.
  • Incredible Work-Life balance.
  • Company Paid Life Insurance policy for employee with option to purchase additional coverage for employee, spouse and/or dependents.
  • Company Paid Long Term Disability.
  • Company Paid AD&D insurance.
  • Short Term Disability available for purchase.
  • 401(k) with a generous match.
  • Generous paid time off accrual program.

Required Skills

EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS:

• 1 year previous collections experience, with emphasis on healthcare insurance collections of all types.
• Medical terminology
• Good customer service skills, always demonstrates professionalism.
• High School Diploma or equivalency.
• Insurance collection experience required
• Prefer previous experience with Electronic Health Record system, but will train.
• Customer account collecting, appeals, OHCA experience preferred