Ambulatory Surgery Collections Specialist – Weekdays

United Surgical Partners International Inc (USPI); McDonough (GA); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, dental, vision, and pharmacy

Life and AD&D coverage

Short- and long-term disability

FSAs and HSAs

401(k) and retirement planning

Paid holidays and vacation

Job summary

USPI Hill Country Ambulatory Surgery Center is seeking a motivated Collection Specialist to join our team. The role involves following up on delinquent surgery center claims and communicating with patients about out-of-pocket amounts, with a focus on accuracy and compliance.

You will work under the Business Office Manager to interpret contracts and insurance requirements, calculate allowable reimbursements, and escalate issues per policy while maintaining professional relations with carriers.

Qualifications

• High School Diploma or equivalency.
• 3-4 years healthcare insurance collections experience (ambulatory surgical setting preferred).
• Experience with electronic patient information systems.
• Medical terminology knowledge.
• Ability to work independently.
• Excellent communication and interpersonal skills.
• Strong time management and prioritization of emergent situations.
• Professional customer service demeanor.
• Typing 45-60 WPM.
• Proficient with Microsoft Office products.

Responsibilities

• Follow up on delinquent surgery center claims.
• Interpret managed care contracts, Medicare/Medicaid, and Workers' Compensation claims.
• Calculate allowable amounts and determine reimbursement appropriateness.
• Appeal claims as necessary.
• Maintain extensive contact with insurance carriers and patients regarding charges.
• Identify accounts with under- or over-payments and issue credit balance information.
• Ensure all procedures are performed professionally per policies and guidelines.

Skills

Communication skills

Interpersonal skills

Time management

Prioritization

Customer service

Typing speed

Education

High School Diploma

Job description

USPI Hill Country Ambulatory Surgery Center is seeking a motivated Collection Specialist to join our team. The role involves following up on delinquent surgery center claims and communicating with patients about out-of-pocket amounts, with a focus on accuracy and compliance.

You will work under the Business Office Manager to interpret contracts and insurance requirements, calculate allowable reimbursements, and escalate issues per policy while maintaining professional relations with carriers.