Surgical Information Systems · 2 days ago
Revenue Cycle Lead-Accounts Receivable
North Charleston, SC
Full-time
Hybrid
Mid LevelSurgical Information Systems (SIS) has been empowering surgical providers for over 29 years by delivering innovative software and services. The Revenue Cycle Lead will assist with timely follow-up and collection on clients’ third-party payor accounts receivable, ensuring accurate billing and handling denials and underpayments.
Health CareHospitalSoftware
No H1B
Responsibilities
Develop strategic initiatives to improve outcomes
Develop and distribute client ready reports and materials
Ensure accurate billing rules used by the team
Work complex issues as they arise
Develop processes, letters and templates to be used by self and others
Familiar with client billing rules and contribute to maintaining billing rules
Increased productivity and quality expectations
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 manager, as appropriate
Must have a clear understanding of the insurance collection process
Ability to solve problems associated with tasks
Qualification
Required
High school graduate or GED certification
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
Cooperative work attitude toward and with co-employees, management, patients, and outside contacts
Strong attention to detail and speed while working within tight deadlines
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 manager, as appropriate
Must have a clear understanding of the insurance collection process
Ability to solve problems associated with tasks
Preferred
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
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
Company
Surgical Information Systems
Surgical Information Systems has been dedicated to providing surgical care providers with the solutions and services.
Founded in 1996
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2020-10-15Acquired
2020-01-01Series Unknown
2010-12-01Private Equity
Leadership Team
Tom Stampiglia
Chief Executive Officer
John Walker
SVP, Hospital Sales and Operations
Recent News
2025-07-30
Company data provided by crunchbase