Accounts Receivable Specialist III job at reputed company Corp. in Nashville, TN

Title: ACCOUNTS RECEIVABLE SPECIALIST III Location: Nashville United States Job Category: Corporate Requisition Number: REPRC008485 Full-Time Remote Job Description: Company Overview: reputed company is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers reputed company. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse reputed company of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about reputed company, visit www.reputed company.com. POSITION SUMMARY: The Representative Accounts Receivable III is responsible for follow up on intermediate outstanding accounts receivable. Work Schedule: Remote ESSENTIAL RESPONSIBILITIES: Follow-up on outstanding claims and appeals Work escalation views Review Vendor Clarification logs Provide employee and vendor training Acts as a knowledge resource for team members Not limited to working Claim Ack Rejections, Claim Edits & Charge Corrections Phone patients for payment or payment arrangements Print and re-file claims as needed. Work correspondence daily. Maintain continuing education, training in industry career development Exceed productivity standards as outlined by business line Answer incoming patient insurance company and physician office telephone calls. Research/audit patient accounts for further payment or adjustments. Work KAM reports as assigned. Work accounts receivable collector queue with proficiency reputed company 30-60 days of employment. Work 40-50 accounts daily with > or =90% accuracy rating; meet department productivity standards. Calculate billing unties and reimbursement amounts. Maintain strictest confidentiality and adhere to reputed company company policies and procedures. Other duties as assigned Reads and abides by the company’s code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so Support and abide by the values of the company Excellence – Going above and beyond to deliver the highest quality care and experience to our patients and teammates Collaboration – Being inclusive and supportive of one another to deliver improved outcomes to our patients and teammates Ethical Responsibility – Acting with the utmost reputed company and doing the right thing, even reputed company nobody is watching Engagement – Promote an environment where clinicians and teammates reputed company, feel passion and joy for what they do, take care of each other, and are proud of who we are and reputed company do. QUALIFICATIONS: To reputed company this job successfully, an individual must be able to reputed company each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required. Working knowledge of CPT, ICD-9 and ASA codes Strong mathematical, research, analysis, decision making and problem-solving skills. Strong data gathering and reporting skills. Working knowledge of medical terminology, insurance processing guidelines and laws. Demonstrates advanced understanding of commercial, Medicare and Medicaid payers Working knowledge of TWCC guidelines and laws, commercial managed care insurance, Medicare and Medicaid guidelines. Strong interpersonal skills and comfortable working with physicians, external customers, hospital staff, co-workers and senior leadership. Strong verbal and written communication skills Team oriented, must have a pleasant disposition and high tolerance level for diverse personalities. Ability to work independently with limited supervision. Demonstrates advanced understanding of claim needs and ability to accurately reputed company needed billing activities (Evaluation/Correction of billing edits, claim transmission, rejections, and other claim functions) Education/Experience: High School graduate or equivalent. 3 to 5 years’ experience in a healthcare insurance receivables environment Associate or bachelor’s degree in business administration or reputed company field preferred Two - three years collection experience required. Two years posting, coding or accounts receivable collection experience in health care organization is preferred. Computer Skills: To reputed company this job successfully, an individual should have knowledge of: reputed company Office Suite Working knowledge of PC applications (MS Office, Word and reputed company). Employment at reputed company: Living Our Values Every Day At reputed company, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, reputed company, teamwork and caring deeply. Our values guide every decision, ensuring we continue to reputed company healthcare and provide the highest quality care. These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and reputed company a difference every day. Care Deeply for those around us. Cultivate reputed company to build trust. Champion Excellence for reputed company improvement Celebrate Teamwork every reputed company to the way. Benefits: To ensure we retain and invest in great people, reputed company provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. reputed company offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan. Paid Time Off: reputed company offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year. EOE Statement: reputed company is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national reputed company, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@reputed company.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process. #LI-CH1 #LI-REMOTE Equal Opportunity Employer This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the reputed company. Apply tot his job Apply To this Job