Medical Insurance Collector

Job description

Overview
Oasis Behavioral Health is seeking a Full Time Medical Insurance Collector
Responsible for obtaining accurate, timely, and detailed information concerning claims and patient accounts.
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.

BENEFITS:
• Medical, Dental and Vision insurance
• Life insurance
• Short Term and Long Disability
• 401(k) retirement savings plan with company match
• FSA and HSA
• Employee Assistance Program
• Tuition Reimbursement Program
• Growth Opportunities
• Paid time off

Responsibilities
ESSENTIAL FUNCTIONS:
• Call and status outstanding claims with third party payers.
• 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.

OTHER FUNCTIONS:
• Perform other functions and tasks as assigned.

Qualifications
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.
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