Kalamazoo Anesthesiology

Kalamazoo Anesthesiology is Southwest Michigan’s leading provider of anesthesiology services, an expert administrator of surgical services, and the region’s leading chronic pain management consultant. Founded by anesthesiologists over 50 years ago, KA is a privately held, physician-led partnership. We offer the full suite of perioperative services to the greater Kalamazoo community. KA is proud to be affiliated with several of southwest Michigan’s best healthcare systems, including both level 1 & level 2 trauma centers as well as regional hospitals and surgical centers. We are part of a community where healthcare institutions share a passion to serve the community with distinction.

KA offers competitive compensation and a full benefits package including paid time off (vacation, PTO, paid holidays), medical, dental, vision, life insurance, retirement account, and more. Compensation for this role will be based on experience, and competitive with the market. This is a full-time position with the opportunity for 2 remote days per week after training is complete. Compensation for this role will be based on experience, and competitive with the market.

The Accounts Receivable (AR) department is responsible for all phases of accounts receivable collection and payment posting activities. AR Specialists regularly interact with patients and insurance. 

KEY RESPONSIBILITIES AND TASKS (ESSENTIAL FUNCTIONS)

Payment Posting

• Review Explanation of Benefits to interpret how insurance company paid.
• Post patient and insurance payments and apply adjustments by recording cash, checks, and credit card transactions.
• Determine and resolve credit balance
• Review patient accounts to determine if account should be patient or insurance responsibility or re-billed if necessary.

Insurance Follow-up

• Utilize collections queue and aging reports to follow up on unpaid claims
• Identify root causes of insurance denials, following up with hospital, insurance company and patient as needed.
• Process medical records and requests for additional information, etc. as requested by insurance companies.
• Process insurance appeals and rebills to payors.

Collections

• Follow up with patients and insurance representatives who have outstanding balances indicating next steps to resolve in a timely manner.
• Assist patients with setting up payment plans or refer them to eligibility professionals to explore additional reimbursement resources.

Other

• Respond to patient questions regarding bills and take payment information. Assist patients with setting up payment plans or refer them to eligibility professionals to explore additional reimbursement resources.
• Meet with Supervisor to discuss and resolve reimbursement issues or billing obstacles.
• Attend monthly staff meetings and continuing educational sessions as requested.
• Other duties as assigned by Supervisor.

Note: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.