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Medical Collections Specialist FT

Company: United Surgical Partners International - Surgi-Cen
Location: Fredericksburg
Posted on: November 26, 2022

Job Description:

*Surgi-Center of Central VA *is a multi-specialty surgical outpatient practice with the best clinical outcomes in Central VA.

We are looking for a motivated performer to join our Business Office team as a Collections Specialist, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc. We are looking for a top performer with an extensive knowledge of billing, collections and reimbursement of claims processing.

This is a fast paced environment committed to producing the highest quality work for our surgery center. An ideal candidate will be personable and courteous. We are looking for a competent Collection Specialist to contact clients and collect outstanding payments. You will strike a balance between maintaining trustful relationships, and ensuring timely payments. Our Collection Specialist should exhibit professionalism and trustworthiness. You should have excellent communication and negotiation skills, as well as an ability to work independently and interdependently with other business office staff.


Under the direction of the Business Office Manager, the Collections Specialist is responsible for follow up on delinquent surgery center claims), 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 that have been either under or over paid, issuing credit balance information either to the insurance carrier or the patient. All of these practices 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.

*What We Offer*

As a valued member of USPI, your health and well-being are important to us. We are proud to provide you and your dependents with valuable and significant benefits. USPI knows the value of well-rounded, balanced employees, which is why we offer a variety of additional benefits to help manage life's daily stresses.

* Competitive wages
* Opportunities to better yourself professionally
* Health, Dental & Vision Coverage
* 401(k) retirement plan
* Paid Time Off (PTO)
* Company Paid Holidays
* Employee Assistance Programs
* Health Savings Account/ Flexible Spending Account
* Education Assistance
* Short Term Disability and Long Term Disability Insurance
* Travel Assistance when 100+ miles from home for business or vacation
* Free parking

*Who We Are*

At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

*Qualifications: *

* Must have 3-4 years collection experience preferably in a medical office setting.
* Medical terminology.
* Prefer previous experience working with Advantx. (Patient Accounting System)
* Ability to work independently.
* Excellent communication and interpersonal skills.
* Skilled in time management and prioritization of emergent situations.
* Good customer service skills, always demonstrates professionalism.
* Comfortable utilizing critical thinking skills.
* Typing 45-60 WPM.
* High School Diploma or equivalency.
* Proficient with Microsoft Office products.
* Experience with electronic patient information systems.
* Prefer previous experience with Electronic Health Record system, but will train.

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.

Job Type: Full-time

* 401(k)
* Dental insurance
* Disability insurance
* Employee assistance program
* Flexible spending account
* Health insurance
* Paid time off
* Tuition reimbursement
* Vision insurance

* High school or equivalent (Preferred)

* collection in a medical office setting: 3 years (Preferred)

Work Location: One location%58047475%

Keywords: United Surgical Partners International - Surgi-Cen, Alexandria , Medical Collections Specialist FT, Other , Fredericksburg, Virginia

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