Surgical Care Affiliates

Biller/Collector

US-AZ-Phoenix
Type
Full-Time
# of Openings
1

Overview

SCA owns and/or provides management services to 205 ambulatory surgery centers, surgical hospitals, and hospital surgery departments, in partnership with approximately 2,800 physicians and in affiliation with 105 health systems. SCA's clinical systems, service line growth strategies, benchmarking processes, and efficiency programs create measurable advantage for surgical facilities – clinically, operationally, and financially. 

 

Facility Description:

 

Are you an experienced Biller/Collector looking for an efficient, fast-paced work environment?  Then The CORE Institute Specialty Hospital (CISH) is for you!  Join our team of friendly, motivated healthcare professionals and have fun doing what you love. 

 

We are conveniently located in the North Central Phoenix corridor, and specialize in spine and orthopedic inpatient and outpatient procedures.  Our teammates are among the best in the industry in terms of experience and professionalism.  Our mission is to provide the best possible patient care, and our values direct us toward this goal:

  • The Patient • Teamwork • Excellence •
  • Continuous Improvement • Accountability • Evidence-based Practice •

 

Accountabilities / Responsibilities

The Biller/Collector is responsible for maximizing revenue by submitting accurate primary and secondary insurance claims according to regulatory agencies and payer guidelines.  This role is also responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting. 

 

  • Performs tasks required to ensure the timely and accurate submission of insurance claims to all third party payors and documents billing activity in the patient account system.
  • Works incomplete claims report daily to ensure timely filing in order to maintain highly performing measurements within KPI standards as established by hospital guidelines.
  • Works daily electronic billing file and submits the insurance claims to third party payors. Reviews daily edit reports from the hospital billing system and makes necessary corrections to allow an electronic submission.
  • Ensure all implants and supplies are priced and billed accurately.
  • Provide follow up on all pended accounts, ensuring contract amounts are correct for all charges entered and correcting rejected claims within electronic claims processing system.
  • Performs credit balance management, patient and non-patient (insurance) balance resolution.
  • Provides accurate and timely follow up and resolution for all accounts receivable to meet KPI measures established by departmental guidelines.
  • Handles contracted and non-contracted; HMO, PPO, POS, Worker’s Comp, self-pay and third party reimbursement issues.
  • Ensure payment by primary and secondary payors and/or self-pay patient are accurate.
  • Answering patient calls and correspondence while providing timely, accurate and professional responses and resolution.
  • Meets or exceed monthly, quarterly and yearly cash collection goals

Qualifications

  • High school diploma or equivalent is required. Associates degree preferred.
  • A minimum of two years of hospital collections, cash posting and billing experience is required.

 Please send resumes to: sherrie.wagner@scasurgery.com

2017-3749

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