ASC High Dollar Collector
Job Locations US-FL-Tampa
Job ID 2021-2930 Category Healthcare & Medical Type Full-Time
Overview
Medical Collector Ambulatory Surgery Center ( ASC)
Physician Partners of America (PPOA) is an established AND growing integrated health organization with multiple sites in Texas and Florida. Our team of talented professionals covers the non-medical side of healthcare so our doctors can simply focus on providing the best patient care.
We are looking for an experienced Collector to join our ASC Revenue Cycle Team. The professional in this role will be responsible for following up on claims and obtaining the required documentation to determine the maximum allowable amount for Out of Network reimbursement.
Responsibilities
• Posting Paper and Electronic Remits across a complex healthcare system with different locations and billing systems
• Identifying billing or coding issues and request re-bills, secondary billing or corrected bills as needed
• Updating plan IDs and Patient/Payor demographic information; identifying payor issues and trends and resolve recoup issues
• Take initiative in attaining and maintaining accounts receivable
• Assist in review and selection of accounts to be transferred to outside collection agencies
• Maintain patient account confidentiality and respect non-disclosure of financial affairs of the clinic/corporation
• Conduct duties with empathy, support, respect, and professionalism at the core of every interaction
Qualifications
Requirements:
• 5+ years of progressive collection/billing reimbursement experience in a medical setting
• Previous years experience in ASC revenue cycle within an out of network environment
• Knowledge of Managed Care, PPO, UB04, medical terminology, CPT4 codes, ICD9 codes, technical job knowledge, and Third Party payer requirements and reimbursement rules
• Superior knowledge of coding guidelines and reimbursement reporting requirements
• Must have exceptional organizational and computer technical skills and have the ability to set priorities
• Good knowledge of medical terminology, abbreviations, techniques and surgical procedures
• Excellent written and oral communication along with good analytical skills of situations
PPOA celebrates and supports diversity and is proud to be an Equal Opportunity Employer. PPOA performs criminal background checks and pre-employment drug screens.
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