Revenue Cycle A/R Specialist - Denials & Collections

United Surgical Partners International, Inc; Dallas (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

United Surgical Partners International, Inc. is seeking an A/R Specialist- Collector in the Dallas area to resolve outstanding surgical claims and maximize reimbursement. You will manage high-value accounts, review denials, and prepare documentation for appeals in coordination with payers.

The role requires 2+ years in ASC revenue cycle or orthopedic collections, strong communication, and proficiency with Excel/Outlook. On-site position with strong collaboration across departments.

Qualifications

• 2+ years ASC revenue cycle or orthopedic collections experience.
• Ability to read and interpret EOBs and managed care contracts.
• Clear verbal and written communication with internal and external clients.
• Capable of multi-tasking and meeting deadlines.
• Experience with multiple health payers is preferred.
• Proficient in Microsoft Office including Excel and Outlook.

Responsibilities

• Timely follow-up and resolution on all outstanding A/R to maximize reimbursement.
• Manage daily work queue to prioritize high-dollar claims.
• Review incoming insurance and patient correspondence including refunds.
• Send appeals or provide requested medical documentation.
• Review medical documentation to justify medical necessity.
• Review patient balances for accuracy and collect payments.
• Answer calls to resolve billing inquiries and balances.
• Review insurance payments for accuracy against contracts and schedules.
• Leverage Medicare/Medicaid/LCD knowledge for resolution.
• Negotiate payment amounts with TPA for out-of-network providers.
• Recommend adjustments or refunds with proper documentation.
• Perform other duties as assigned.

Skills

A/R Collections

ASC Revenue Cycle

Excel & Outlook

Communication

Education

High School Diploma or equivalent

Tools

Advantx

Vision

HST

Waystar

Job description

United Surgical Partners International, Inc. is seeking an A/R Specialist- Collector in the Dallas area to resolve outstanding surgical claims and maximize reimbursement. You will manage high-value accounts, review denials, and prepare documentation for appeals in coordination with payers.

The role requires 2+ years in ASC revenue cycle or orthopedic collections, strong communication, and proficiency with Excel/Outlook. On-site position with strong collaboration across departments.