What are the responsibilities and job description for the MEDICAL COLLECTION SPECIALIST position at USPI?
USPI San Antonio Endoscopy Center is seeking a motivated Collection Specialist to join our team. We have 5 OR rooms and 1 Procedure room. We have 1 OR room and 3 Treatment rooms. We perform outpatient surgical procedures in Gastroenterology. Position requires weekdays only no holidays, weekends, or call. Some early mornings and later evenings may be required; schedule subject to change based on surgical schedule and flow of the day.
Job Summary : Under the direction of the Business Office Manager, the Collections Specialist is responsible for follow up on delinquent surgery center claims and 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 which have either been under or over paid, issuing credit balance information to the insurance carrier or the patient.
- These practices shall be 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.
USP-123
LI-CM1
Required Skills :
Position Requirements :
High School Diploma or equivalent
3-4 years previous medical collections experience required, with emphasis on healthcare insurance collections of all types.
Previous experience in an ambulatory surgical center strongly preferred
Medical terminology.
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.
Proficient with Microsoft Office products.
Experience with electronic patient information systems.
USPI complies with federal, state, and / or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
