Surgical Care Affiliates

  • Collections Clerk

    Job Location US-TX-Austin
    Type
    Full-Time
    # of Openings
    1
  • Overview

    POSITION OBJECTIVE:  Responsible for accurately entering and posting insurance and patient payments and contractual write-off amounts into the medical software system.  The Collections Clerk is responsible for assisting the Business Office Manager in maintaining the Accounts Receivable at an acceptable range (as mandated by the Business Office Policies and Procedures).  The Collections Clerk will be cross-trained in other functions of the business office at the direction of the Business Office Manager. 

    Accountabilities / Responsibilities

    • Responsible for entering insurance payments, patient payments, and contractual adjustments into the billing system in an accurate and timely manner.
    • Responsible for monitoring EOBs for correct reimbursement and correlating contractual write off amounts to payer contracts.
    • Responsible for making inquiries to payers to correct errors in reimbursement and contractual write off amounts.
    • Responsible for balancing the daily reconciliation of patient receipts and daily deposits to dollars posted in the billing system.
    • Responsible for maintaining an orderly filing system for hard copy deposits and balanced transaction reports from the billing system to support payments and adjustments posted.
    • Responsible for handling patient account inquiries in a timely and courteous manner.
    • Responsible for handling contracted and non-contracted HMO, PPO, EPO, POS WC, self-pay and third party reimbursement issues.
    • Will be cross-trained to process and generate patient statements as needed.
    • Will be cross-trained to enter, generate and bill charges as needed.
    • Promptly reports unresolved patient complaints to the Business Office Manager.
    • Promptly reports on a daily basis any unresolved payer and/or patient account issues to the Business Office Manager.
    • Independently research denied claims, 2nd level reimbursement issues, denied procedures and outstanding accounts receivable daily to insure center benchmarks are met.
    • Will inform patients of their financial responsibility to the surgery center as needed pre op and as needed. 
    • Participates in other business office functions as needed and at the direction of the Business Office Manager.
    • Must be willing to attend seminars for continuing education in areas related to the job.
    • Must be willing to attend software training to keep up with advances in information technology.

    Qualifications

    • High School Diploma; Associate's degree or equivalent experience is preferred.
    • Minimum 1 to 3 years of experience in billing/collections or patient management in a hospital, or physician practice setting, outpatient surgery center or related field
    • Computer experience; excel, word, medical billing software and applications, and a working knowledge of medical terminology.
    • Experience in record keeping.

     

    Work Environment

    • Subject to varying situations.
    • Subject to answering a high volume of calls and patient account inquiries.
    • OSHA, Category III - Does not involve occupational exposure to blood and other potentially infectious body fluids and materials*

     

    Physical Demands:

    • May be required to lift and/or carry items weighing up to 10 pounds.
    • Some bending, kneeling, reaching, stooping and crouching.

     

     

    * OSHA Bloodborne Pathogens Employee Exposure Categories:

    Category I:  Employees whose job functions involve routine or potential exposure to blood, body fluids, or tissues (direct patient care tasks).

    Category II:  Employees whose job functions involve no routine exposure to blood, body fluids, or tissues, but employment may require performing unplanned Category I tasks (indirect patient care tasks; i.e. Receptionist, Business Office Personnel, etc.).

    Category III:  Employees whose job functions involve no exposure to blood, body fluids, or tissues, and Category I and II tasks are not a condition of employment.

     

     

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