• Make detailed notes on patient’s accounts after correspondence from patient, insurance, attorney, etc.
• Identifies and resolves patient billing issues/disputes.
• Evaluates patient’s financial status and establishes payment plans per internal policies. • Contacts patients via phone call that have unpaid self pay balance. • Sort and distribute mail as needed. • Review accounts that fall outside of our minimum payment or that have not made payment in 60 days and send to outside agency as Pre-collect monthly. • Place calls to patient as per SMP collection protocol. • Make appropriate status and notes to patient’s accounts. • Review accounts not paid during Pre-collect process and make recommendations for additional collection efforts. • Send reports to outside collection agencies to include all data requested monthly. • Adjust accounts per efforts bad debt guidelines. • Act as a liaison between SMP & collection agency • Handle collection agency correspondence as required. • Special projects as assigned.
• Answers incoming phone calls from patients, staff and insurance companies. • Accurately post charges, payments and adjustments to patient accounts per client policies/procedures. • Calculate, balance and post daily deposits into billing software within 1-2 business days. • Verify the payment received is paid per the specific payer contract. • Accounts underpaid phone call will be made to begin process of getting corrected payment. • Overpayments are followed up by a phone call to the insurance company within 3-5 business days. • Run, download and send statements daily for designated sites. • Monitor claims through electronic claims processing system. • Print claims to paper that are not submitted electronically daily. • Identifies and resolves patient billing issues/disputes. • Make detailed notes on patient’s accounts after correspondence from patient, insurance, attorneys, etc. • Evaluates patient’s financial status and establishes payment plans. • Follow up on all accounts pending insurance at a minimum of every 30 days. • Responsible for all first level appeals to payors. • Sort and distribute mail as needed. • Phone consultations to facilities as needed. • Special projects as assigned.
Must possess a strong knowledge of all aspects of medical billing
Excellent written and verbal communication skills with professional attitude are required.
Ability to work independently as part of a team is critical.
Proven ability to work with minimal supervision and maintain a high level of productivity.
Promotes and protects the confidential nature of all patients, financial and employee information.
Knowledge of Medicare, Medicaid and commercial insurance procedures.
Viewing a computer monitor and reading computer printed reports.
Telecommuting is allowed.
Internal Number: 1
About Surgical Management Professionals
Surgical Management Professionals (SMP) is a surgery center and physician owned hospital acquisition, management and development company. In addition to our core services of surgery center development and management, SMP provides an array of revenue cycle solutions including coding, billing services, and collections that can be customized to fit the needs of your ASC, hospital or clinic. SMP has been serving physicians, surgery centers and hospitals for over 25 years with an impressive record of success.