Medical Insurance Collector

Responsible for obtaining accurate, timely, and detailed information concerning claims and patient accounts.

• High school diploma or equivalent required.
• Three or more years’ prior admissions and or collections experience in a hospital setting required.
• Psychiatric experience preferred.

• →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.

• Perform other functions and tasks as assigned.

• 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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