Surgical Collector

Job Description

Job Description

ENT and Allergy Associates, LLP and Quality Medical Management Services USA, LLC is seeking a self-motivated, people-friendly full time Surgical Collector for our Corporate office location.

The Surgical Collector job responsibilities include :

• Working the assigned physician A / R reports and contacting the insurance carriers via phone or online to follow up on claim status, verify insurance information and eligibility;
• Working the daily payment and adjustment report
• Working the 0.00 payment report and working this on a daily basis
• Submitting written appeals to insurance carriers for various claim denials;
• Reviewing charges for accuracy and proper modifiers and tasking PSA's for any corrections needed;
• Providing allowed amounts to surgical coordinators for deductible collection procedures prior to surgery;
• Contacting patients for collections of self pay balances, coinsurance, unpaid deductibles, etc.;
• Reviewing all surgery payments for accuracy and adjusting surgery claims according to the various insurance contracts;
• Scanning all insurance / patient correspondence received / sent into NextGen and attaching to the patients chart thru ICS;
• Working insurance correspondence which may require contacting the carrier, posting transactions in the system, generating tasks to the PSA's for information requested by the insurance company (ie : office notes, pre-existing forms);
• Reporting all unresolved issues to their immediate manager by status report
• Working any projects as priority when given by immediate supervisor and manager (DSO, high dollar accts)
• Following up on a monthly basis with their immediate manager for any special projects out to the provider rep that would affect their doctor's claims

We offer a superior benefits package, including excellent medical and dental coverage.

Please Note : ENT and Allergy Associates is an E-Verify employer

About ENT and Allergy Associated, LLP (ENTA)

ENT and Allergy Associates, LLP is the largest and most comprehensive ear, nose, throat, allergy and audiology practice in the nation with 46 offices and over 220 physicians.

Each ENT and Allergy Associates clinical location provides access to a full complement of services, including General Adult and Pediatric ENT, Voice and Swallowing, Facial Plastics and Reconstructive Surgery, Disorders of the Inner Ear and Dizziness, Asthma, Clinical Immunology, Diagnostic Audiology, Hearing Aid dispensing, Sleep and CT Services.

ENTA has a clinical alliance with The Mount Sinai Hospital for the treatment of diseases of the head and neck and esophageal cancer and a partnership with the American Cancer Society to educate and treat patients with smoking disorders and cancer.

The Practice has also expanded its clinical capabilities to include advanced Immunodeficiency trials.

About Quality Medical Management Services USA, LLC (QMMS USA)

Backed by over 20 years of experience, Quality Medical Management Services USA offers healthcare consultancy services in the area of medical staff operations, practice management, ancillary service revenue enhancement, compliance, records management, and business applications.

QMMS USA provides a seasoned team to offer leading edge healthcare business management. QMMS USA implements best practices throughout to ensure success.

To learn more about Quality Medical Management Services USA, please visit : www.qmmsusa.com

To learn more about the benefits of ENT and Allergy Associates, or to conveniently find an ENT doctor or Allergy Doctor and then easily book an appointment at the nearest New York or New Jersey location, please visit : www.

entandallergy.com or contact us at :

ENT and Allergy Associates, LLP

660 White Plains Road, Suite 400

Tarrytown, NY 10591

Tel : (914) 333-5800

Fax : (914) 333-2540