SUMMARY

Ensures that all surgery financial obligations are achieved for assigned providers.

ESSENTIAL DUTIES AND RESPONSIBILITIES (Other duties may be assigned)

• Obtain surgery benefits and collect financial obligations prior to surgery.
• Responsible for accurate and timely charge capture for ambulatory and hospital based services.
• Manage pre-payment plans to include collecting, posting and assigning money.
• Denials follow up on surgery charges. Identify and communicate A/R denial trends to AR Manager.
• Timely follow up and communication of monthly surgery reports.
• Research and resolve Insurance overpayments and patient refunds.
• Answer billing and payment related questions.

SUPERVISORY RESPONSIBILITIES

Not applicable.

QUALIFICATIONS

• Minimum of two years’ experience working in all areas of collections in a physician practice.
• Knowledge of medical terminology, ICD 10 and CPT codes.
• Detail oriented and ability to multi-task in a fast paced environment.
• Strong knowledge of Microsoft Office applications and payer websites.
• Athena experience is preferred.
• Excellent written and oral communication skills as customer service is a major focus at Resurgens!

PHYSICAL DEMANDS

While performing the duties of this job, employee is regularly required to sit, stand, walk, reach with hands and arms, and to talk and hear. Employee may be occasionally required to climb or balance, stoop, kneel, or crouch. Employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

WORK ENVIRONMENT

While performing the duties of this job, employee may be exposed to risk of infectious diseases when interacting with patients and/or family members. The employee may be occasionally exposed to wet and/or humid conditions, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals and vibration. The noise level in the work environment is usually moderate.