What are the responsibilities and job description for the Collector, CBO position at AMSURG?
AMSURG, the Envision Healthcare solution for ambulatory surgery centers (ASCs), collaborates with physicians and health systems across the country to provide and promote quality patient care. We are the nationally recognized leader in the strategic and operations management of ASCs that deliver high quality, high value, same-day surgical services with a superior patient experience. Launched in 1992 as an ASC industry pioneer, AMSURG is currently partnered with nearly 2,000 specialty physicians providing outpatient surgical services in more than 250 facilities in 34 states.
Amsurg's core values drive continual advancement and ingenuity across the enterprise:
- Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
- Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
- Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
- Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
- Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
- Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging
Benefits: At Amsurg, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. Qualifying employees are eligible to enroll on the 1st of the month, following 30 days of employment. Envision Healthcare offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs.
Paid Time Off:
Amsurg offers paid time off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.
If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.
SUMMARY
The accounts receivable representative I resolve third-party outstanding accounts throughout the client base by
means of researching claim status, identifying and resolving issues, and processing denials or other
correspondence received from various payors.
RESPONSIBILITIES
Utilize the NextGen and NextGen clearing house Applications to process rejections, denials and other
correspondence received from third party payors in accordance with Amsurg procedures and guidelines to
resolve issues and re-bill “clean” claims for payment.
- Acquire, interpret and apply payor rules/regulations to ensure claims and appeals are submitted/processed
in accordance with proper guidelines. - Research complex payor issues preventing payment and communicate the details to appropriate internal
personnel for resolution. - Analyze patient account history in order to resolve claim issues.
- Accurately document the system notes screen regarding any actions or updates made to the patient
account. - Investigate outstanding accounts, identify issues/denials preventing resolution and communicate findings
to appropriate management personnel. - Serve as the primary contact for all inbound calls from insurance companiesto resolve problems and answer
questions. - Prepare mass appeals for large and complex payor/provider issues.
- Contact hospitals, employers, and payors for verification, claim status, and to obtain additional information
to satisfy processing of the claims for payment. - Maintain all department standards associated with productivity, quality, and phone statistics
- Perform account research and route accounts through appropriate client workflows
- Complete timely follow-up on assigned accounts
- Perform account research and document findings in detailed manner
- Communicate with other departments to identify and resolve issues causing rejections and denials, utilizing
applications and databases. - Compose appeal letters to third party payors and compile all proper documentation including but not
limited to claim forms, payor specific forms, and medical documentation as applicable. - Utilize all resources and websites as a tool to retrieve pertinent information related to accounts receivable
tasks and assignments
QUALIFICATIONS
- Ability to handle a large volume of work
- Meet or exceed established standards for productivity and quality
- Flexible, high achiever with ability to learn quickly and meet department goals and deadlines
- Working knowledge of medical billing/insurance terminology
- Working knowledge of Medicare, Medicaid, and Blue Shield rules and regulations
- Ability to compute percentages and basic math functions
- Ability to identify and solve moderately complex problems independently
- Organized, detail oriented with excellent follow through abilities. Can handle and prioritize multiple tasks.
- Reliable, team-oriented, with excellent interpersonal skills.
EDUCATION
- High School Diploma or equivalent
- Minimum of 6 months healthcare billing experience; or equivalent combination of education and
experience preferred.
We are an equal opportunity employer.
We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.
We provide reasonable accommodation to complete the online application consistent with applicable law. If you require an accommodation, please contact Human Resources.
Amsurg uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.
Amsurg is an Equal Opportunity Employer.