Collections Specialist - Remote at Surgery Partners in Nashville, TN

Copilot said:

Location: Remote

Job Responsibilities:

• Research unpaid claims, determine denial root causes, and perform appropriate follow-up actions to ensure timely claim adjudication.
• Identify and take appropriate action for the billing of secondary and tertiary insurance claims.
• Remain informed of all current applicable third-party payer regulations and requirements.
• Communicate payer trends and patterns to management.
• Document all account resolution activities and actions taken within the patient's record.
• Review, comprehend, and execute payer logic within negotiated contracts.
• Prioritize workflow to reduce or eliminate bad debt and support a reduction in accounts receivable (AR) days.
• Meet and maintain established productivity and audit standards.
• Perform other duties as assigned by management.

Copilot said:

Core Competencies

• Agility

  • Adapts quickly to changing circumstances and effectively navigates obstacles and constraints.
  • Remains comfortable with uncertainty and adjusts approaches to meet evolving business needs.

• Bias to Action

  • Takes initiative and moves work forward with a logical, solution-oriented approach.
  • Makes sound decisions and acts effectively, even without having the complete picture.
  • Demonstrates resilience and maintains focus on achieving goals despite challenges or setbacks.

• Customer Focus

  • Understands the needs and priorities of both internal and external customers.
  • Builds positive relationships and delivers service that meets customer expectations.

• Managing Complexity

  • Analyzes complex situations and identifies the most critical issues.
  • Distinguishes key information from distractions to solve problems effectively.
  • Identifies root causes of successes and failures to drive continuous improvement.

• Conflict Management

  • Resolves disagreements and disputes fairly and professionally.
  • Maintains a positive, constructive, and respectful approach during difficult conversations.
  • Works collaboratively to achieve mutually beneficial outcomes.

Benefits:

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

*No Recruiters Please