Surgery Partners Walnut Creek , CA 94596
Posted 1 week ago
Duties and Responsibilities:
Under the supervision of the Business Office Manager or Director of Business Operations, the Collector/Payment Analyst is responsible for the financial success of the facility in regards to revenue cycle management.
The employee should have a full understanding of each of the processes to maximize reimbursement.
Must possess knowledge of insurance contracts and breakdown of payments to ensure correct payments.
Actively participates in achieving the monthly collection goals
Contacts carriers within 25 days to verify claim status and resubmission of claims as necessary
Contacts patient's as necessary to discuss financial responsibility
Turns over un-collectable accounts within 90 days
Knowledgeable of appeal/denial logs and process correspondence accordingly
Utilizes adjustment and refund journals in accordance with established guidelines
Knowledge of payment posting and processing of appeals and refunds
Manages collection activities to maximize revenue to assure budgeted EBITDA results are achieved
Account management is performed according to facility benchmarks and guidelines
Qualifications:
Minimum of 2 years of experience in collection activities within a healthcare environment. (Applicants without this experience will not be considered)
Demonstrated computers skills in utilizing work processing, integrated database, and understanding of mathematical calculations and medical terminology
Ability to use office machines (copiers, fax machines, and scanners), and telephone systems
Proficiency using and knowledge of Microsoft Office, and patient accounting systems.
Surgery Partners