Hospital A / R & Workers' Compensation Collector

Hospital A / R & Workers' Compensation Collector

Join to apply for the Hospital A / R & Workers' Compensation Collector role at United Surgical Partners International, Inc.

Overview

Reporting to the Hospital Workers Comp Collections Supervisor, the Collector must have a strong knowledge of work comp collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review. This position is responsible for resolving outstanding surgical claims resulting in maximum reimbursement.

Responsibilities

• Timely follow-up and resolution on all outstanding workers comp A / R including unpaid / underpaid / denied claims to obtain maximum reimbursement.
• Manage daily work queues to prioritize high dollar claim balances.
• Perform insurance claim follow-ups for insurance denials and appeals. Contact insurance companies to check status via phone, web portals or online.
• Review state fee schedules to ensure claims have processed correctly.
• Knowledge of all payers for workers comp.
• Understanding implant reimbursement.
• Review and work incoming insurance and patient correspondence including refund requests.
• Prepare and write appeals when appropriate or provide the requested medical documentation.
• Ability to review medical documentation.
• Review insurance payments and determine accuracy of reimbursement based on contracts and fee schedules.
• Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers providing the appropriate documentation.
• Understand workers comp time constraints and ensure they are not exceeded.

Required Experience & Skills

Seniority level

Employment type

Job function

Industries

Dallas, TX — multiple postings indicated. Salary ranges observed : $58,000.00-$75,000.00 and $65,000.00-$75,000.00.

Referrals increase your chances of interviewing at United Surgical Partners International, Inc by 2x.

Get notified about new Hospital jobs in Dallas, TX.

J-18808-Ljbffr