ICC Reconciliation Specialist jobs in United States
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United Surgical Partners International, Inc · 17 hours ago

ICC Reconciliation Specialist

United Surgical Partners International, Inc is seeking an ICC Reconciliation Specialist. The role involves managing credit balances, analyzing accounts, and resolving issues related to healthcare insurance claims while ensuring accurate processing of refunds and adjustments.

Health CareWellness

Responsibilities

Manage daily work queues of credit balances for both onshore & offshore teams
Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances
Complete thorough review of patients’ accounts with credit balances to validate the patient overpayment is accurate
Recommend and adjustment when applicable or recommend a refund of the overpayments to the insurance carrier or patient, providing the appropriate documentation
Apply knowledge related to insurance contracts, interpret explanation of benefits, understand regulations concerning coordination of benefits and other applicable guidelines
Process refunds accurately and in timely manner adhering to contract language where appropriate
Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims
Use critical and analytical problem-solving skills to resolve issues
Uses strong organizational skills to effectively manage large amounts of detailed information
Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, surgery centers, and payer representatives to resolve credit balances
Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position
Other duties as assigned

Qualification

ASC revenue cycle experienceInsurance claim resolutionInsurance explanations interpretationMicrosoft Office proficiencyCerner experienceAnalytical problem-solvingOrganizational skillsCommunication skills

Required

2+ years of ASC revenue cycle or orthopedic payment posting or collections experience
Ability to read and interpret insurance explanations of benefits and managed care contracts
Intermediate computer proficiency in Microsoft Office including Excel and Outlook
High School Diploma or equivalent

Preferred

Knowledge or experience working with a variety of health care insurance payers is preferred
Cerner, Advantx, Vision, HST experience preferred

Company

United Surgical Partners International, Inc

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United Surgical Partners International (USPI) is the largest ambulatory surgery platform in the country and operates ambulatory surgery centers and surgical hospitals.

Funding

Current Stage
Public Company
Total Funding
unknown
2018-04-26Acquired
2004-01-01Post Ipo Equity
2001-06-08IPO

Leadership Team

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Bradley Cardenas
Administrator/CEO
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Brian C. Horak, MBA
Administrator/CEO - Memorial Hermann Surgery Center - TMC
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Company data provided by crunchbase