US Anesthesia Partners

  • Claims Specialist/Payer Compliance Specialist

    Metro Area Austin, TX
    Job ID
    2018-2486
    Location
    US-TX-Austin
    Function
    Revenue Cycle Management
    Employment Status
    Full-Time
  • Overview

    U.S. Anesthesia Partners (USAP) is the largest single-specialty anesthesia practice in the country with over 4,000 clinical providers and associates.  By joining our team you will participate in a highly collaborative and dynamic environment.  As an organization we are mission focused on delivering the highest quality in patient care and you will be directly supporting our talented clinical team.  We extend this same commitment to quality to our associates and supply tools and resources that will ensure we win in the healthcare marketplace and support of USAP.

     

    We are proud of our inclusive people culture that supports our associates to perform at their best.  USAP is an equal opportunity employer.  Candidates with physician services or related health care experience is a plus. We offer a competitive benefits package. 

     

    Process electronic claims and oversee all electronic claim rejections. Respond to payor inquiries and rejections in a timely manner to insure proper payment. Resolve claim issues for patients while projecting a professional company image through phone interaction.

    Responsibilities

    ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

    • Work all claim rejections in Task Manager/eCommerce.
    • Resubmit claims to insurance carriers as needed.
    • Identify, research, and resolve ongoing claim issues.
    • Work closely with Payor Compliance Manager to identify, research, and resolve trends in claim rejections.
    • Work closely with Insurance Specialist on claim issues/inquiries.
    • Follow-up with Insurance Specialist on inquires not immediately resolved.
    • Recognize, document and alert the supervisor of trends in claim processing and/or denials.
    • Audit randomly selecting claims to ensure quality processing.
    • Recommend process improvements.
    • Remain current with payor claim submission guidelines.
    • Complete work within authorized time to assure compliance with department standards.
    • Handle Medicaid, Superior, Amerigroup, Sendero, Seton Medicaid, Chip and Star
    • Verifications as assigned
    • Other duties as assigned

     

    JOB REQUIREMENTS (Knowledge, Skills and Abilities):

    • Detail-oriented organizational skills in a multi-tasking environment.
    • Ability to work independently on assigned tasks as well as accept direction on given assignments.
    • Ability to communicate effectively with people from all backgrounds and uphold our high standards of customer service.

    Qualifications

    EDUCATION/TRAINING/EXPERIENCE:

    • 3+ years of medical claims experience
    • Bachelor's degree preferred
    • Experience reading and interpreting 3rd party contracts

    US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

     

     

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