Surgery Partners, Inc

Collections

• The primary responsibility of the Medical Collection Specialist is to ensure effective collection of all patient accounts.
• Perform extensive insurance claim follow-ups for insurance denials, appeals, and perform next steps a must.
• Ability to utilize multiple patients accounting and billing applications including but not limited to claims clearing house systems, payer websites.
• Ability to interact with the payer representatives, HIM, Insurance Verification and Access Service departments.
• Participates in group meetings and /or various committees.
• Ability to effectively present information regarding denial trends, and present to management.
• Ability to read, understand, interpret and resolve payer denials and EOB's.
• Ensure denial reviews, claim follow-ups are conducted in a timely manner in accordance with payer timely filing limits.
• Correct claims and file appeals with supporting documents to insurance companies, by phone, electronically or mail.
• Ability to work receivables to investigate and resolve denials and partial payments.
• Ability to calculate reimbursement per payer contract.

Medical Collections Specialist

Call Center Representative

• Answer incoming calls and direct them to the right departments
• Accurately schedule appointments, consultations, and surgeries in NextGen
• Register new patients and input detailed demographic and insurance information
• Confirm appointments and verify insurance coverage
• Educate patients on pre-visit protocols, paperwork, and appointment details
• Take and route messages from patients, physicians, and pharmacies
• Coordinate scheduling for multiple physicians and locations
• Provide backup front office support and contribute to overall workflow
• Reach out to new patients with a friendly welcome call

Bilingual Call Center Representative – Medical Practice

Manager

• Responsible for performing prospective, concurrent, and post-discharge utilization reviews.
• Supports accurate admission status determinations and active denial management.
• Assists with discharge planning activities and contributes to performance improvement initiatives.
• Conducts comprehensive medical record reviews and ensures compliance with hospital policy and regulations.
• Facilitates appropriate admission status determinations based on clinical documentation and payer requirements.

RN Case Manager – Utilization Review

Accounting Manager

• Oversee accounting support for up to 16 facilities of varying complexity, including all SOX control monitoring and explanations for monthly operations reviews
• Act as key point of contact for managing coordination of implemented Blackline solution modules (Task Manager, Balance Sheet reconciliations, Journal Entry preparation, etc.) for the respective region of the American Group
• Manage our accounting relationship with our BPO provider which includes but is not limited to; accurate journal entries and monthly balance sheet reconciliations, achievement of due dates, demonstrating leadership capabilities and mentorship with our BPO team.
• Regional SME for monthly net revenue proofs, supply implant tie outs, escheatment processes (RBOD and corporate AP partnership), credit balance AR review and other tasks as defined by management
• Identify and communicate potential areas of opportunity from an automation or optimization perspective to Centralized Accounting leadership team
• Perform special project assignments or other duties as assigned by Centralized Accounting leadership team

Accountant

• Support corporate tax department to ensure timely and accurate tax return compliance and financial reporting
• Collaborate with other tax professionals within the tax department to coordinate efforts, share knowledge, and ensure efficient and effective delivery of tax services
• Responsible for assistance with preparation of corporate and partnership tax return work-papers, tax fixed asset reporting, and assisting with monthly capital account roll-forwards
• Coordinate partnership tax return preparation with third party CPA firm preparer through providing complete and accurate information, answering questions from the firm, and reviewing partnership federal and state tax returns
• Roll-forward partnership capital account workbooks each month including monitoring and reporting distributions, contributions, and partner syndications
• Prepare monthly journal entries for assigned entities during accounting close to adjust partnership capital accounts for syndications
• Maintain tax fixed asset records for corporate and partnership entities
• Responsible for the accuracy and completeness of the tax depreciation, state depreciation, and AMT depreciation reports for several currently owned partnership entities and future partnership acquisitions
• Responsible for assigning the tax depreciation method and tax life to fixed asset additions
• Responsible for preparing IRS forms 4562 and 4797 from the Company’s fixed asset depreciation software at year-end
• Assist with the Company’s quarterly and year-end ASC 740 tax provision calculation and related disclosures on an as-needed basis
• Assist with federal and state corporate tax return work-papers
• Prepare partnership tax basis roll-forward schedules
• Assist with gathering information and drafting a response for various IRS and state tax notices received by the Company.

Senior Tax Accountant

• Oversee monthly and quarterly consolidation processes across multiple entities, ensuring accuracy, completeness, and compliance with U.S. GAAP.
• Lead the technical accounting function for mergers, acquisitions, and divestitures.
• Prepare and review consolidation journal entries including intercompany eliminations, investment in subsidiary, and equity method adjustments.
• Partner with Legal and Development teams to assess and model accounting implications of deal structures and agreements.
• Support SEC reporting and quarterly filings with consolidated financial data, roll forwards and Mergers & Acquisitions-related disclosures.
• Develop accounting analysis and consolidation conclusions under both the VIE and VOE consolidation models.
• Experience integrating acquired entities into a consolidation system, including configuration of entity structures and establishing elimination logic.
• Collaborate with external auditors on consolidation and Mergers & Acquisitions-related audit requests.
• Develop and maintain consolidation policies, procedures, and documentation to ensure consistency across the organization.
• Mentor junior team members and knowledge share with facility accounting teams to improve and build a scalable corporate consolidations function.
• Participate in ad hoc projects including system implementations, automation initiatives, and policy refreshes.

Accounting Manager – Consolidations, Mergers & Acquisitions

Billing Specialist

• Responsible for medical billing and account follow-up
• Transmit patient care information
• Resolve discrepancies
• Adjust patient bills
• Prepare reports
• Gather, verify, and provide additional information for claims
• Examine and evaluate data and select corrective steps
• Maintain work operations by following policies and procedures
• Maintain quality results by following standards set forth by the company
• Update job knowledge by participating in educational opportunities