What are the responsibilities and job description for the Medical Collector position at USPI?
Medical Collector Full Time
Desert Ridge Outpatient Surgery Center is hiring a Medical Collector Full Time
Welcome to Desert Ridge Outpatient Surgery Center
Job Summary
- Ongoing follow-up and review of all payer accounts
- Must work each account at least once a month
- Check receipt of electronic claims within 7 days of bill date
- Process documentation for accounts which fall into an appeals status and properly note the account
- Follow up on all denials timely
- Informs the Business Office Manager of any payer trends
- File all completed EOB’s in the correspondence folder by date worked and note account in PAS (Patient Accounting System)
- Prepare coding review forms with all data for review by Coder
- Correct patient demographic and insurance information when necessary and generate re-bill
- Knowledge of insurance contracts and timely filing deadlines
- Knowledge of ICD10 codes and CPT codes
- Must be able to verify insurance benefits
- Initiates authorizations when needed
- Work with biller and coding team on insurance denials and coding issues
- Receives, screens, and routes incoming calls in a professional manner
- Prepares patient and insurance refunds
- Prepares accounts for collections turnover
- Informs Business Office Manager of applicable day-to-day situations
- Processes all outgoing mail, runs through postage machine and delivers to mailbox on a daily basis.
- Ability to work as a team member
- Must be flexible, reliable, productive, patient oriented and self-motivated
- Follows all facility policies and procedures
- Comply with all HIPAA regulations
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.
- Monday to Friday work schedule
- Off on holidays and weekends
- NO CALL required
- 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
Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare 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.
Required Skills:
Qualifications:
- Previous collections experience, with emphasis on healthcare insurance collections of all types. Preference shown to previous experience in an ambulatory surgical setting.
- Medical terminology.
- Knowledge of ICD10 codes and CPT codes
- 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.
- 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.