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Medical Collector

4 months ago

Phoenix, United States United Surgical Partners International Full time

OASIS Hospital is seeking a Medical Collector to join the team

Job Summary:

Under the direction of the Business Office Manager, the Medical Collector is responsible for follow up on delinquent surgery services claims, working an expected number of claims per day. Majority of claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must. Extensive contact with insurance carriers of all types, as well as communication with patients regarding out of pocket amounts is required. Identification of accounts that have been either under or over paid, issuing credit balance information either to the insurance carrier or the patient.

Required Skills:

* High School Diploma or equivalency.
* 2-3 years previous collections experience in a hospital setting.
* Medical terminology.
* CPT/HCPCS - ICD 10 knowledge.
* Ability to read and comprehend complex instructions, remittance advices, EOB's, UB's.
* Proficient computer software skills (Microsoft Office Products including Excel & Outlook).
* Excellent ability to think quickly and respond promptly to needs of the payer. Persuades others to commit to prompt action in resolving issues.
* Experience using and healthcare software systems, MEDITECH, DDE and/or SSI experience a plus
* Ability to understand the need for confidentiality in the work assigned to you.
* Effective communication skills with staff members, patients and their families.

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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