Oasis Behavioral Health

Chandler, Arizona, United States

Medical Insurance Biller Collector

Posted over 1 month ago

Job Description

ESSENTIAL FUNCTIONS:

  • 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.

OTHER FUNCTIONS:

  • Perform other functions and tasks as assigned.

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.
17013760

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