Insurance - Accounts Receivable Specialist

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.

Surgical Notes, a Surgical Information Systems Company, is seeking a AR Specialist to assist with timely follow-up and collection on our clients' third-party payor accounts receivable. Will be responsible for collection efforts on Insurance Accounts. Will handle the accounts receivable for Ambulatory Surgical Centers, Urgent Care and occasionally Professional Care, submit appeals and research denials from Insurance Carriers.

• Work through book of AR and develop plan for maintaining proper coverage on all accounts for multiple types of payers.
• Meet productivity requirements of 25 accounts per day and 95% quality
• Follow up denials and underpayments received within 24 hours by researching steps previously taken and take additional action, as needed to resolve the claim.
• Review aged accounts, trace and appeal unpaid and/or erroneously paid or denied accounts
• Work all denials and underpayments received within 24 hours by researching steps previously taken and take additional action, as needed to resolve the claim.
• 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
• Obtain pre-authorizations as needed.
• Work tickler accounts daily to ensure overall health of client accounts receivable.
• Review and address correspondence daily, including emails from clients
• Identify trends and inform client lead/manager, as appropriate
• Escalate issues to client lead/manager, as appropriate
• Must have a clear understanding of the insurance collection process
• Ability to solve problems associated with tasks
• Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time

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

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

• Knowledge of all medical billing, insurance guidelines and appeals process required
• Healthcare Insurance Collecting experience
• Experience working with surgical claims and denials
• Knowledge of computers and Windows-driven software (MS Word, Excel, and Outlook)
• Excellent command of written and spoken English
• Strong attention to detail and speed while working within tight deadlines
• Exceptional ability to follow oral and written instructions

SPECIFIC KNOWLEDGE & SKILLS DESIRED:

• Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
• A working knowledge of IPAs and health plans is required.
• Comfortable with electronic and manual payor follow-up.
• Able to quickly identify trends and escalate, as appropriate.
• Ability to read, analyze and interpret insurance plans, financial reports, and legal documents

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