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Collections Specialist - Remote

Surgery Partners, Inc

Role overview

Responsibilities

  • Research unpaid claims, determine denial root causes, and perform appropriate follow-up actions to ensure timely claim adjudication.
  • Identify and take appropriate action for the billing of secondary and tertiary insurance claims.
  • Remain informed of all current applicable third-party payer regulations and requirements.
  • Communicate payer trends and patterns to management.

Key facts

Hard skills

Agility Customer Centricity Conflict Management

About the company

Surgery Partners, Inc logo

Surgery Partners, Inc

Hospitals & Health Care

Surgery Partners is a leading operator of surgical facilities and ancillary services with more than 180 locations nationwide. We provide exceptional integrated healthcare experiences between our providers and patients. Our diverse company operates multiple types of healthcare services dedicated to improving the quality of care in a convenient and cost-effective manner. Our integrated approach to advancing markets allows for flexibility to provide care on an individualized, local market basis. Whether entering into a new market with surgical facilities, ancillary services or joint ventures with health systems, or furthering an existing market’s growth potential by focusing on base business, in-market development and new service lines, our experience has shown us that no two markets are alike. We see value in individuality. At Surgery Partners, our mission is to enhance patient quality of life through partnership. Surgery Partners is an organization deeply committed to providing quality, compassionate and personalized care, to meet the needs of our diverse patients, employees and physician partners in the communities in which we serve. Our colleagues are critical in achieving that mission. As it truly brings out the best in all of us, Surgery Partners is committed to diversity and inclusion. Our Surgery Partners team is comprised of more than 7,000 employees and 4,600 affiliated physicians, serving more than 600,000 patients annually. Want to work with us? Check out our website for current employment opportunities.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size10001

Links

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Job description

 
Copilot said:
 
Location: Remote
 
Job Responsibilities:
  • Research unpaid claims, determine denial root causes, and perform appropriate follow-up actions to ensure timely claim adjudication.
  • Identify and take appropriate action for the billing of secondary and tertiary insurance claims.
  • Remain informed of all current applicable third-party payer regulations and requirements.
  • Communicate payer trends and patterns to management.
  • Document all account resolution activities and actions taken within the patient's record.
  • Review, comprehend, and execute payer logic within negotiated contracts.
  • Prioritize workflow to reduce or eliminate bad debt and support a reduction in accounts receivable (AR) days.
  • Meet and maintain established productivity and audit standards.
  • Perform other duties as assigned by management.
 
Copilot said:
 
 
 

Core Competencies

  • Agility

    • Adapts quickly to changing circumstances and effectively navigates obstacles and constraints.
    • Remains comfortable with uncertainty and adjusts approaches to meet evolving business needs.

  • Bias to Action

    • Takes initiative and moves work forward with a logical, solution-oriented approach.
    • Makes sound decisions and acts effectively, even without having the complete picture.
    • Demonstrates resilience and maintains focus on achieving goals despite challenges or setbacks.

  • Customer Focus

    • Understands the needs and priorities of both internal and external customers.
    • Builds positive relationships and delivers service that meets customer expectations.

  • Managing Complexity

    • Analyzes complex situations and identifies the most critical issues.
    • Distinguishes key information from distractions to solve problems effectively.
    • Identifies root causes of successes and failures to drive continuous improvement.

  • Conflict Management

    • Resolves disagreements and disputes fairly and professionally.
    • Maintains a positive, constructive, and respectful approach during difficult conversations.
    • Works collaboratively to achieve mutually beneficial outcomes.

Benefits:

  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance 
  • PTO
  • 401(k) retirement plan with a company match
  • And more! 

 

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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