Note: The job is a remote job and is open to candidates in USA. Surgical Information Systems (SIS) has been empowering surgical providers for 30 years by delivering innovative software and services. The Insurance Accounts Receivable Specialist plays a crucial role in managing insurance accounts receivable for Ambulatory Surgical Centers and Clinics, ensuring timely resolution of claims and denials.
Responsibilities
- Work assigned insurance accounts receivable with accuracy, efficiency, and a strong sense of ownership
- Proactively follow up on outstanding claims and insurance denials to ensure timely resolution
- Research, prepare, submit, and track insurance appeals, including ongoing appeal follow‑up
- Communicate effectively with insurance representatives to resolve claim issues and obtain payment
- Apply strong organizational and time‑management skills to prioritize daily workloads and meet deadlines
- Interpret managed care contracts, including fee schedules and allowable amounts, to support collection efforts
- Work confidently with non‑participating providers and payer guidelines
- Maintain a clear understanding of the insurance collection process and apply best practices consistently
- Identify issues and resolve problems independently, using sound judgment and attention to detail
Skills
- High school graduate or GED certification
- Solid knowledge of medical billing processes, insurance guidelines, and the insurance appeals lifecycle
- Prior experience in healthcare insurance collections, preferably in an ambulatory or clinical setting
- Proficiency with computers and Windows‑based software systems
- Strong written and verbal communication skills with excellent command of the English language
- Ability to work cooperatively and professionally with teammates, patients, and external partners
- Customer‑focused mindset with the ability to represent the company positively to patients, insurance carriers, and the general public
- Must have a minimum of 50Mbps internet download speed to effectively run SIS
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
Company Overview