Accounts Receivable Representative III

AMSURG; Nashville (TN); On-site; USD 40,000 - 80,000; Full time

Job summary

An established industry player in ambulatory surgery is seeking a dedicated Accounts Receivable Representative III to manage outstanding claims and appeals. This role is pivotal in ensuring accurate billing and payment processes while providing training and support to team members. Ideal candidates will demonstrate strong organizational skills and a thorough understanding of healthcare insurance practices. Join a team committed to excellence and integrity, where your contributions will directly impact the quality of care provided to patients. This opportunity offers a supportive environment for professional growth and development.

Benefits

Paid Time Off

Medical Insurance

Dental Insurance

Vision Insurance

401(K) Plan

Paid Family Leave

Qualifications

• 3 years experience in healthcare insurance receivables or equivalent.
• Ability to handle a large volume of work with accuracy.

Responsibilities

• Follow up on outstanding claims and appeals.
• Research and audit patient accounts for adjustments.
• Train employees and vendors on processes.

Skills

Accounts Receivable Management

Healthcare Insurance Knowledge

Communication Skills

Organizational Skills

Attention to Detail

Education

High School Diploma

Job description

Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit: https://www.amsurg.com/.

SUMMARY

The Representative Accounts Receivable III is responsible for follow up on intermediate outstanding accounts
receivable.

Essential Duties and Responsibilities:

• Follow-up on outstanding claims and appeals
• Work escalation views
• Review Vendor Clarification logs
• Provide employee and vendor training
• Acts as a knowledge resource for team members
• Not limited to working Claim Ack Rejections, Claim Edits & Charge Corrections
• Phones patients for payment or payment arrangements
• Print and re-file claims as needed
• Work correspondence daily
• Answer incoming patient insurance company and physician office telephone calls
• Research/audit patient accounts for further payment or adjustments

• Work KAM reports as assigned
• Work accounts receivable collector queue with proficiency within 30-60 days of employment
• Work 40-50 accounts daily with > or =90% accuracy rating
• Calculate billing unties and reimbursement amounts
• Maintain strictest confidentiality and adhere to all company policies and procedures
• Other duties as assigned

Position Qualifications:

• High School diploma
• 3 years experience in a healthcare insurance receivables environment or equivalent combination of education and experience
• Ability to handle a large volume of work
• Flexible, high achiever with ability to learn quickly and meet department goals and deadlines
• Meet or exceed established standards for productivity and quality
• Organized, detail oriented with excellent follow through abilities. Can handle and prioritize multiple tasks
• Demonstrates advanced understanding of commercial, Medicare and Medicaid payers
• Working knowledge of TWCC guidelines and laws, commercial managed care insurance, Medicare and Medicaid guidelines.
• Demonstrates advanced understanding of claim needs and ability to accurately perform needed billing activities (Evaluation/Correction of billing edits, claim transmission, rejections, and other claim functions)

Employment at AMSURG: Living Our Values Every Day
At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care.
These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.

Care Deeply for those around us.
Cultivate Integrity to build trust.
Champion Excellence for continuous improvement.
Celebrate Teamwork every step to the way.

Benefits:To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off:AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

EOE Statement:AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws.We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: [e-mail]. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.

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Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.