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Medical Collections Specialist

Medical Collections Specialist

Deer Oaks Mental Health AssociatesSan Antonio, TX, US
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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 preferred
  • Must be computer literate
  • Have good interpersonal skills
  • Work well in a team environment
  • Excellent written communication
  • Time management
  • Knowledge of Medicare and Medicaid preferred
  • Specialized knowledge of claim filing and appeal filing deadlines preferred
  • Some experience with other commercial insurances helpful
  • Basic knowledge of medical billing and collections terminology and regulations
  • Understands and recognizes the difference between a contractual adjustment and write off
  • Ability to maneuver through assigned work queues
  • Understanding Denial, Unbilled, Addendum and Medicaid Pending reports
  • Basic knowledge of HIPAA guidelines
  • Familiar with navigating insurance websites and portals
  • Correctly interpret payer EOBs / Remit information
  • Solution oriented
  • Clearly 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 detail
  • Able to spot trends and escalates accordingly
  • Able to locate and interpret payer specific billing guidelines
  • Ability to work with performance goals and measurements
  • Must 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.

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    Collection Specialist • San Antonio, TX, US

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