Collector
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Job Description
Healthcare accounts receivable collector resolving claims, appeals, billing corrections, and patient payments. Supporting AMSURG’s nationwide ambulatory surgery center network with accurate reimbursement processing.
Responsibilities:
- Follow up on outstanding claims and appeals
- Work escalation views
- Review Vendor Clarification logs
- Provide employee and vendor training
- Act as a knowledge resource for team members
- Work Claim Ack Rejections, Claim Edits and Charge Corrections
- Phone patients for payment or payment arrangements
- Print and re-file claims as needed
- Work correspondence daily
- Maintain continuing education and industry career development training
- Exceed productivity standards outlined by the business line
- Answer incoming telephone calls from patients, insurance companies and physician offices
- Research and audit patient accounts for further payment or adjustments
- Work KAM reports as assigned
- Work the accounts receivable collector queue
- Work 40–50 accounts daily with at least 90% accuracy and meet department productivity standards
- Calculate billing units and reimbursement amounts
- Maintain strict confidentiality and adhere to company policies and procedures
- Report suspected or real violations of the corporate compliance program and prohibited activities
- Obtain policy clarification and use Compliance, Human Resources or Legal resources when necessary
- Support AMSURG’s values of excellence, collaboration, ethical responsibility and engagement
Requirements:
- High School graduate or equivalent
- 3 to 5 years’ experience in a healthcare insurance receivables environment
- Two - three years collection experience required
- Working knowledge of CPT, ICD-9 and ASA codes
- Strong mathematical, research, analysis, decision making and problem-solving skills
- Strong data gathering and reporting skills
- Working knowledge of medical terminology, insurance processing guidelines and laws
- Advanced understanding of commercial, Medicare and Medicaid payers
- Working knowledge of TWCC guidelines and laws, commercial managed care insurance, Medicare and Medicaid guidelines
- Strong interpersonal, verbal and written communication skills
- Ability to work independently with limited supervision
- Advanced understanding of claim needs and billing activities, including billing edits, claim transmission, rejections, and other claim functions
- Knowledge of Microsoft Office Suite, MS Office, Word and Excel
- Must work the accounts receivable collector queue proficiently within 30–60 days of employment
- Ability to maintain confidentiality and follow company policies, procedures, compliance requirements and mandatory training
Benefits:
- Paid Time Off
- 9 observed holidays
- Paid family leave
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- Healthcare FSA
- Dependent Care FSA
- Limited Healthcare FSA
- Transportation and Parking FSAs
- Health Savings Accounts (HSAs)
- Matching 401(K) Plan
- Training and professional growth opportunities
- Recognition opportunities
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