Overview
Responsible for obtaining accurate, timely, and detailed information concerning claims and patient accounts.
Responsibilities
- Call and status outstanding claims with third party payors.
- Review claims issues and make corrections as needed and rebill.
- Utilize claims clearing house to review and correct claims. Resubmit electronically when available.
- Review explanation of benefits to ascertain that claim processed and paid correctly.
- Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
- Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
- Prorate patient accounts and monitor that balance due is in the correct financial class.
- Report an overview of the week to the BOD and participate in AR meetings.
- Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
- Assist financial counselors as needed.
- Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.
Qualifications
EDUCATION / EXPERIENCE / SKILL REQUIREMENTS :
- High school diploma or equivalent required.
- Three or more years' prior admissions and or collections experience in a hospital setting required.
- Psychiatric experience preferred.
LICENSES / DESIGNATIONS / CERTIFICATIONS :
Not applicable
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
OAS01
Medical Biller/Collector
Responsible for obtaining accurate, timely, and detailed information concerning claims and patient accounts.Call and status outstanding claims with third party payors.Review claims issues and make corrections as needed and rebill.Utilize claims clearing house to review and correct claims.Resubmit el...
Medical Biller Collector
Come join our team as a Medical Biller Collector, at Oasis Behavioral Health! We are looking for individuals who are passionate about behavioral health. Medical Biller Collector responsibilities:. Medical, Dental, and Vision Insurance. ...
Bilingual Branch Collections Specialist
The Branch Collections Specialist is responsible for handling outbound and inbound calls from customers to determine the best possible method to permanently resolve delinquency by using a variety of collections and workout techniques. The Collections Specialist is also responsible for using verbal a...
Bilingual Customer Service Representative (Primarily Home)
You will report to a Customer Service Manager and participate in required training activities and learn product and system knowledge necessary to respond to auto policy-related inquiries received from agents, agency staff, operations and customers. You will focus on providing outstanding, customer s...
Medical Collections Specialist
We are looking for ​a Medical Collections Specialist to join our team! You will be responsible for the duties below. Responsible collections process of all unpaid or denied claims with the appropriate insurances. ...
Phlebotomist/Medical Receptionist
As a Phlebotomist/Medical Receptionist, internally known as a One Medical Lab Services Specialist/ Member Support Specialist, at one of our offices, you’ll provide an exceptional experience for our patients and help them accomplish an important part of their care journey by providing venipuncture, d...
Medical Collector
Minimum of 2 years of experience in medical accounts receivable, including experience with major payers such as Medicare and Medicaid and private insurances. Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary be...
Billing Specialist
The purpose of the DME Billing and Account Receivables Specialist is initiate billing claims, actively process all denials and ensure follow up on the collection efforts to ensure timely reimbursement for services provided. Medical coding and/or billing certification preferred but not required. Vall...
Mortgage Customer Service Representative
Customer service, Call center, Mortgage, Loans, financial services, Data entry, Customer support, Finance, Banking, Closing. Customer service, Call center, Mortgage, Loans, Financial services. Directly engage with Valon customers across a variety of inbound customer requests and inquires, which cons...
A/R Specialist- Medical Billing and Collections
TTF places candidates in the revenue cycle, health information management, and healthcare administrative fields with the following specialties and titles: Hospital Collector, Commercial, Government, Managed Care, Billing Representative, Medical Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Med...