PIP/Worker Comp Accounts Receivable Specialist - Business Office FT

Millennium Surgical Center has an immediate need for a full time PIP/Worker Comp Accounts Receivable Specialist to join the team! At Millennium Surgical Center, we believe health and care are inseparable. We focus on offering a high quality, service oriented environment for your surgical procedure. Our facility is accredited by The Joint Commission.  

Job Summary: Under the direction of the Business Office Manager, is responsible for covering any aspect of the business office necessary. Successful candidate will possess outstanding multi-tasking abilities, communication and teamwork as well as the ability to keep up in a fast paced working environment. The successful candidate should be able to demonstrate previous successful/positive customer service encounters or programs.

Duties and Responsibilities:

• Experience in Accounts Receivable PIP and Workmen’s Compensation and 3rd party claims and accounts receivables as it relates to ASC/ Outpatient Services.
• Managing PIP appeals, Arbitration files and Attorney receivables.
• Well-organized to manage time effectively, prioritize tasks, set goals, and develop systems for achieving those goals.
• Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail.
• Responsible for following up on unpaid and denied claims on a weekly basis.
• Utilize accounting software systems and ERP solutions to manage accounts receivable and billing functions.
• Will be responsible for reviewing claims for submission of claims electronically and via paper when required.
• Knowledge of Billing Functions.
• Collaborate with other team members to ensure smooth financial operations.
• Ability to manage Cash, process checks and manage cash activity to ensure accurate and timely financial transactions.
• Special projects and other duties assigned as needed by management.

• High School Diploma or equivalency.
• 1-2 years of previous medical claims experience required.
• Experience in Auto, Work Comp, government payer claim adjudication (Medicare, VA, Tricare) and commercial payers (BCBS products, AmeriHealth, Aetna, Cigna, UHC, etc.)
• Familiar with reading contracts and have the ability to apply those rules to an EOB and determine a follow up/resolution path.
• Familiar with grievance and appeals process.
• Must be able to communicate verbally and non-verbally in a professional way.
• Ability to use time wisely in preparing work area to meet high-paced demand.
• Show a genuine desire to work and improve the ASC/hospital as a whole.
• Must be able to multi-task.
• Strong medical terminology.
• Must demonstrate excellent phone etiquette and exceptional customer service skills.

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

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