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AMSURG · 5 days ago

Collector, CBO

AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. The Accounts Receivable Representative III is responsible for following up on outstanding claims and appeals, training team members, and maintaining productivity standards in managing accounts receivable.

Health CareHealth DiagnosticsMedical

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 within 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 all 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 integrity and doing the right thing, even when nobody is watching
Engagement – Promote an environment where clinicians and teammates thrive, feel passion and joy for what they do, take care of each other, and are proud of who we are and what we do

Qualification

CPTICD-9ASA codesMedical terminologyInsurance processing guidelinesMathematical skillsData gatheringCommercialMedicareMedicaid payersTWCC guidelinesMicrosoft Office SuiteInterpersonal skillsVerbal communicationWritten communicationTeam orientedIndependent work

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 perform needed billing activities (Evaluation/Correction of billing edits, claim transmission, rejections, and other claim functions)
High School graduate or equivalent
3 to 5 years' experience in a healthcare insurance receivables environment
Two - three years collection experience required
Two years posting, coding or accounts receivable collection experience in health care organization is preferred
Microsoft Office Suite
Working knowledge of PC applications (MS Office, Word and Excel)

Preferred

Associate or bachelor's degree in business administration or related field preferred

Benefits

Paid Time Off
Medical
Dental
Vision
Life
Disability
Healthcare FSA
Dependent Care FSA
Limited Healthcare FSA
FSAs for Transportation and Parking
HSAs
Matching 401(K) Plan

Company

AMSURG

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AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide.

Funding

Current Stage
Public Company
Total Funding
unknown
2025-06-17Acquired
1997-12-03IPO

Leadership Team

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Christopher A. Holden
CEO
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Company data provided by crunchbase