Remote Collector

Surgery Partners Careers•Walnut Creek, CA

18h•Remote

About The Position

Accounts Receivable & Insurance Follow-Up Manage assigned A/R buckets and maintain productivity standards. Follow up on unpaid, rejected, or denied claims in a timely manner. Submit appeals with appropriate documentation to resolve denials and underpayments. Review EOBs for accuracy and identify payment variances. Monitor timely filing limits and prioritize high-dollar accounts. Identify denial trends and escalate systemic payer issues to leadership. Must have insurance verification knowledge, demonstrate the ability to verify eligibility and benefits, coverage limitations, deductibles, co-insurance, and out of pocket responsibilities. Verify patient eligibility, benefits, coverage limitations, deductibles, co-insurance, and out-of-pocket responsibilities prior to date of service. Verify patient eligibility, benefits, coverage limitations, deductibles, co-insurance, and out-of-pocket responsibilities prior to date of service.

Requirements

Must have 3 years or more of relevant experience to apply.
Candidates without the required experience will not be considered.
Must have insurance verification knowledge, demonstrate the ability to verify eligibility and benefits, coverage limitations, deductibles, co-insurance, and out of pocket responsibilities.

Responsibilities

Manage assigned A/R buckets and maintain productivity standards.
Follow up on unpaid, rejected, or denied claims in a timely manner.
Submit appeals with appropriate documentation to resolve denials and underpayments.
Review EOBs for accuracy and identify payment variances.
Monitor timely filing limits and prioritize high-dollar accounts.
Identify denial trends and escalate systemic payer issues to leadership.
Verify patient eligibility, benefits, coverage limitations, deductibles, co-insurance, and out of pocket responsibilities prior to date of service.