AMSURG
Company Overview
Envision Healthcare is a leading national medical group focused on delivering high quality care to patients when and where they need it most. More than 30,000 clinicians and clinical support teammates call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country. Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.
Envision’s core values drive continual advancement and ingenuity across the enterprise:
Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging
Benefits
We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.
Summary
The Representative Accounts Receivable III is responsible for follow up on intermediate outstanding accounts receivable.
Essential Duties and 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
Phones patients for payment or payment arrangements
Print and re-file claims as needed
Work correspondence daily
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
Calculate billing unties and reimbursement amounts
Maintain strictest confidentiality and adhere to all company policies and procedures
Other duties as assigned
Qualifications
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily.
The requirements listed below are representative of the knowledge, skills and/or abilities required.
Ability to handle a large volume of work
Flexible, high achiever with ability to learn quickly and meet department goals and deadlines
Meet or exceed established standards for productivity and quality
Organized, detail oriented with excellent follow through abilities. Can handle and prioritize multiple tasks
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, coworkers and senior leadership.
Organized, detail oriented with excellent follow through abilities. Can handle and prioritize multiple tasks
Strong verbal and written communication skills
Strong data gathering and reporting skills
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)
Education/Experience
High School diploma
3 years experience in a healthcare insurance receivables environment or equivalent combination of education and experience