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

United Surgical Partners International, Inc; San Antonio (TX); Presencial; USD 42.000 - 66.000; Jornada completa

Descripción de la vacante

United Surgical Partners International, Inc. is seeking a Collections Specialist at our ambulatory surgery center to manage delinquent claims and follow up with insurers and patients. The role requires healthcare familiarity, medical terminology, and strong communication under tight deadlines.

Day shift, Monday to Friday, 8 a.m. to 5 p.m., with a focus on accuracy, confidentiality, and professional service while maintaining adherence to policies and guidelines.

Formación

• 2-3 years previous collections experience in healthcare insurance.
• Medical terminology knowledge.
• Experience with Advantx (Patient Accounting System) preferred.
• Ability to work independently.
• Excellent communication and interpersonal skills.
• Time management and prioritization of emergent situations.
• Strong customer service and professional demeanor.
• Typing 45-60 WPM.
• High School Diploma or equivalent.
• Proficient with Microsoft Office products.
• Experience with electronic patient information systems.
• Familiarity with Electronic Health Records and willingness to train.

Responsabilidades

• Follow up on delinquent surgery center claims.
• Communicate with insurance carriers and patients about balances and payments.
• Identify accounts with overpayments or underpayments and issue credit balances.
• Maintain confidentiality and professionalism per policies and procedures.
• Work well under stress with patience and tact in a fast-paced environment.

Conocimientos

Healthcare collections

Medical terminology

Patient communication

Time management

Customer service

Critical thinking

Typing 45-60 WPM

Educación

High School Diploma or equivalent

Herramientas

Advantx

Microsoft Office

Descripción del empleo

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 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.

Shift: Day

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

Required Skills:

EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS:

• 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.