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Accounts Receivable Specialist
2 months ago
United Surgical Partners International, Inc is seeking a highly skilled Accounts Receivable Collector to join our team. The successful candidate will be responsible for managing accounts receivable and billing functions, as well as tracking and reviewing denial EOBs and following up on unpaid and denied claims on a weekly basis.
Key Responsibilities- Manage accounts receivable and billing functions using accounting software systems and ERP solutions.
- Track and review denial EOBs and follow up on unpaid and denied claims on a weekly basis.
- Communicate effectively with the Collections Lead on trends relating to failed activities/claims, claim denials, or process issues.
- Monitor customer credit accounts and take appropriate action to collect delinquent payments.
- Manage cash, process checks, and ensure accurate and timely financial transactions.
- Collaborate with other team members to ensure smooth financial operations.
- High School Diploma or equivalency.
- 1-2 years of previous medical claims experience required.
- Experience in government payer claim adjudication (Medicare, Medicaid, VA, Tricare) and commercial payers (BCBS, Aetna, Cigna, UHC, etc.).
- Familiar with reading contracts and applying those rules to an EOB and determining a follow-up/resolution path.
- Familiar with grievance and appeals process.
- Ability to read an EOB.
- Excellent phone etiquette and exceptional customer service skills.