Medical Collections Specialist
Deer Oaks The Behavioral Health Solution is a leading provider of behavioral health services across the country and now growing its administrative team. Our Revenue Cycle department is seeking a full-time experienced medical collections specialist. Be a part of the Deer Oaks Difference. The Collections Specialist works as a member of the Collections Department.
Responsibilities Include :
- Handling collections of primary, secondary, and tertiary insurance receivables
- Handling appeals for denials and reworking rejections
- Work all Collections correspondence
- Coordinating with other revenue cycle staff
- Works Overpayment Notices
- Initiate resolution to refund requests
- Responsible for minimizing aging of accounts
- Works Medicaid Pending, Unbilled, and Denial reports
- Generates claims for secondary and tertiary insurance
Qualifications :
Healthcare collections experience is preferredMust be computer literateHave good interpersonal skillsWork well in a team environmentExcellent written communicationTime managementKnowledge of Medicare and Medicaid preferredSpecialized knowledge of claim filing and appeal filing deadlines preferredSome experience with other commercial insurances helpfulBasic knowledge of medical billing and collections terminology and regulationsUnderstands and recognizes the difference between a contractual adjustment and write offAbility to maneuver through assigned work queuesUnderstanding Denial, Unbilled, Addendum and Medicaid Pending reportsBasic knowledge of HIPAA guidelinesFamiliar with navigating insurance websites and portalsCorrectly interpret payer EOBs / Remit informationSolution orientedClearly documents all information obtained while working accounts (name of person spoken with, number called, reference number, problem, actions taken, follow up date and initials)Strong attention to detailAble to spot trends and escalates accordinglyAble to locate and interpret payer specific billing guidelinesAbility to work with performance goals and measurementsMust be able to reliably commute to the San Antonio Medical Center area, Mon-Friday, 8am to 5pm standard work hours. This is an on-site role.