Surgical Collector

Job Description:

ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time Surgical Collector for our Corporate office location.

Hourly: $30/hour

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 Epic 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

**Prior experience with medical insurance collections required.***

Schedule:

Monday-Friday: 7:30am-4:00pm or 8:00am-4:30pm

We offer a competitive salary with a comprehensive benefits package including:

Medical/Dental/Vision insurance, Company paid long term disability, Flexible spending account, Company paid life insurance, Voluntary life insurance, 401k, Pet insurance.

The ENT & Allergy Associates Network:

ENT & Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians who practice in over 80 clinical locations throughout New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are specialists and sub-specialists in their respective fields, providing the highest level of expertise and care. With a wide range of services including Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. ENTA is also affiliated with some of the most prestigious medical institutions in the world. Each year ENTA physicians are voted ‘Top Doctor’ by Castle Connolly, a true testament to the exceptional care and service they provide to their patients.

HÜMI:

Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications. With a seasoned team and a commitment to excellence, Hümi delivers cutting-edge healthcare business management solutions. By implementing best practices at every step, Hümi ensures measurable success for its clients. At its core, Hümi represents the human side of healthcare, where operational excellence meets a people-first philosophy.

ENT and Allergy Associates is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.