Insurance AR Specialist/ Self Pay Specialist - Remote bei Surgical Information Systems (SIS)
Surgical Information Systems (SIS) · Fort Myers, Vereinigte Staaten Von Amerika · Remote
- Junior
For over 29 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS).
Serving over 2,700 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.
Recognized as the No. 1 ASC EHR vendor by Black Book for 10 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.
Discover how SIS can help you Operate Smart™ at sisfirst.com.
THIS IS A REMOTE POSITION
The AR Specialist is responsible for collection efforts on Insurance Accounts. Will handle the accounts receivable for Ambulatory Surgical Centers, submit appeals and research denials from Insurance Carriers. Will act as the billing office for designated Ambulatory Surgical Centers. Will handle the Accounts Receivable for Clients, submit appeals, and contact patients for medical claim payment.
ESSENTIAL DUTIES/ RESPONSIBILITIES:
- Work accounts receivable as assigned
- Follow up on denials in a timely manner
- Demonstrated experience with writing appeals, initiating appeals/follow-up on appeals
- Must be comfortable interacting with insurance representatives
- Excellent organizational, communication & time management skills
- Knowledge of managed care contracts (i.e fee schedules and allowables)
- Experience working with non-participating providers
- Must have a clear understanding of the insurance collection process
- Ability to solve problems associated with tasks
- Willing to learn software billing systems
- Generates Patient Statements, uploading to statement vendor daily
- Places Courtesy Calls to patients regarding outstanding balance(s)
- Initiates contact through online solutions; like Text Messaging, dialer, etc…
- Creates and Reports to client(s) Monthly Collections List for accounts that require review and approval to send to Collection Agency and/or written off to bad debt
- Researches and explains patient financial responsibility, according to Explanation of Benefits and Facilities Self Pay policy guidelines
- Handles all inbound calls from patients and clients regarding Self Pay Accounts Receivable
- Researches and Documents all patient contact (inbound or outbound) in clients software system, which includes clear and detailed description of action taken, next step and expected resolution date
- Monitors and resolves all Self Pay Accounts Receivable upon Self Pay entry or transfer date from Insurance; Follow up at least once every 30 days with more frequent follow up as necessary
- Credit card payments processed to center in a timely fashion
- Collaborates cross-functionally within the team, to accomplish adjustment requests, insurance research, etc…
- Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time
SPECIFIC KNOWLEDGE & SKILLS REQUIRED:
- Knowledge of all medical billing, insurance guidelines and appeals process required
- Healthcare Insurance Collecting experience
- Knowledge of computers and Windows-driven software
- Excellent command of written and spoken English
- Cooperative work attitude toward and with co-employees, management, patients, and outside contacts
- Ability to promote favorable company image with patients, insurance companies, and general public
- Must have a minimum of 40Mbps internet download speed to effectively run SIS Systems
BENEFITS:
- Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
- Vacation/Sick time
- 401(k) retirement plan with company match
- Paid Holidays
- SIS Cares Day
- Hybrid or Remote environment depending on the role
We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses
Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.
At this time we are unable to sponsor H1B candidates
