AMSURG

Job Details

Description

Company Overview:AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit: https://www.amsurg.com/.

East Bay Endosurgery Center is an outpatient endoscopic facility specializing in gastroenterology. We believe in compassionate medicine, where patients feel reassured and unrushed. Our experienced, board-certified physicians have dedicated themselves to caring for their neighbors in the Oakland community since 1976. Patients are frequently seen for colorectal cancer screening and problems involving the digestive tract.

POSITION SUMMARY:

Underneath the supervision of the Center Leader or Office Manager, responsible for areas such as insurance verification, scheduling of surgical procedures, billing/coding/accounts receivable, accounts payable records or transcription of operative procedures. Promotes a favorable image of the Center to physicians, patients, insurance companies, and the general public.

QUALIFICATIONS:

• High School Diploma or GED
• One (1) year of experience, preferably in an Ambulatory Surgery Center (ASC)
• Experience in Endoscopy/Multi-specialty/Ophthalmology/ASC
• Ability to speak and understand the English language
• Strong ethical and moral character references
• Basic computer skills

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Strong knowledge of ICD 10
• Strong knowledge of CPT (certification preferred not required)
• Maintains all claim records
• Reviews and appeals denied and unpaid claims
• Analyzes, enters, and manipulates database
• Follows up on all outstanding payer rejections
• Balances and reconciles month end reports
• Communicates with the corporate accounting department regarding outstanding items
• Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations
• Manages proper submission of all documents in a timely fashion
• Attends in-services, seminars, and webinars for additional education and performance improvement
• Submits claims to insurance companies for payment
• Verifies patients’ insurance coverage
• Works directly with the insurance company, the patient, and the healthcare provider, to get a claim processed and ultimately paid
• Manages collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients if or when there is a lapse in payment
• Manages the facility’s Account Receivable reports
• Answers any questions patients may have about billing
• Manages the relationship with collection agencies
• Ensures that collection agencies are managing the ASC’s accounts in a compliant manner and reporting discrepancies to the Business Operations contact
• Submits secondary billing in a timely manner with appropriate supporting documentation
• Reviews patient accounts for accuracy and completeness and obtain any missing information
• Demonstrates courtesy and helpfulness toward patients and their families
• Contacts insurance companies regarding any discrepancies in payment
• Attends all required education
• Regular and predictable attendance
• Performs other duties as assigned

Compensation and Benefits: The starting pay for this per diem position is $24/hr., based on experience, qualifications, and market rates. Our compensation packages are designed to be competitive and reflect our dedication to fairness and equal opportunity. For more information on our pay structure and how we determine compensation, please feel free to ask during the interview process.

EOE Statement: AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@amsurg.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.