Representative - Collections L1

Atlas Healthcare Partners exists to form strategic partnerships with health systems across the nation to develop, manage and operate Ambulatory Surgery Centers (ASCs) in their markets. As a key player in this rapidly growing healthcare segment, we are committed to providing exceptional care and outstanding customer service to every patient, every physician, every time. Our daily focus revolves around our core values of Integrity, Culture, Teamwork, Respect, and  addition to fostering a workplace that encourages professional growth and advancement, we provide industry-leading health and dental benefits, paired with a matching retirement package.

We look forward to you being a vital part of our journey in shaping the future of healthcare.

Collections Representative is responsible for follow up on delinquent surgery center claims, working an expected number of claims per day. Majority of claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must. You will be given tools to calculate allowable and required to determine appropriateness of reimbursement and appeal claims as necessary.

• Contact payors and patients to effectively and accurately collect for services provided by Atlas centers.
• Interpret a managed care contracts, Medicare and Medicaid and Workers Compensation to appropriately calculate allowable and determine appropriateness of reimbursement.
• Interpret patient eligibility and plan structure to determine patient responsibility.
• Answer questions regarding account aging, denial types and other requests for analysis and detail by account, center, denial type or any other claim and invoice characteristics.
• Participate as a team player, and have ability to communicate well with team members, patients, customers, insurance carriers, etc.
• Apply the appropriate strategy to account resolution including thresholds for refunds, recoups, write offs, adjustments and productivity targets.
• May work payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment to help the team meet goals in work quality and productivity.
• Identifies payer, center, and denial trends and shares those results with collections leaders.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

NOTE:

The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.

• Contact payors and patients to effectively and accurately collect for services provided by Atlas centers.
• Interpret a managed care contracts, Medicare and Medicaid and Workers Compensation to appropriately calculate allowable and determine appropriateness of reimbursement
• Interpret patient eligibility and plan structure to determine patient responsibility
• Answer questions regarding account aging, denial types and other requests for analysis and detail by account, center, denial type or any other claim and invoice characteristics
• Participate as a team player, and have ability to communicate well with team members, patients, customers, insurance carriers, etc.
• Apply the appropriate strategy to account resolution including thresholds for refunds, recoups, write offs, adjustments and productivity…