Payment Poster - FT - Baptist M&S Imaging Business Office

United Surgical Partners International; San Antonio (TX); On-site; USD 40,000 - 50,000; Full time

Job summary

United Surgical Partners International in San Antonio, Texas, is seeking a Collections Specialist. This role involves following up on delinquent surgery center claims, primarily with various insurance carriers. The candidate must have 2-3 years of collections experience in healthcare, and be proficient in medical terminology and customer service. Key responsibilities include managing accounts and communicating professionally with insurance carriers and patients. Monday to Friday, day shift hours are offered, fostering a productive work environment.

Qualifications

• 2-3 years previous collections experience, particularly in healthcare insurance.
• Ability to manage accounts independently and maintain professionalism.
• Comfortable working in stressful environments.

Responsibilities

• Follow up on delinquent surgery center claims.
• Communicate with insurance carriers and patients regarding claims.
• Identify accounts that are under or overpaid.

Skills

Healthcare insurance collections experience

Medical terminology

Excellent communication skills

Customer service skills

Critical thinking skills

Typing 45-60 WPM

Proficient with Microsoft Office

Education

High School Diploma or equivalency

Tools

Advantx (Patient Accounting System)

Electronic Health Record system

Electronic patient information systems

Job description

Job Overview

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 are 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.

Shift & Hours

Shift: Day

Hours: Monday – Friday 8 a.m. to 5 p.m.

Required Skills

• 2-3 years 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 Accounting System).
• Ability to work independently.
• Excellent communication skills and interpersonal skills.
• Skilled in time management and prioritization of emergent situations.
• Good customer service skills, always demonstrates professionalism.
• 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.