Medical Billing Specialist

2 weeks ago


Oklahoma City, Oklahoma, United States Surgical Hospital Of Oklahoma Llc Full time
Job Overview

The Surgical Hospital of Oklahoma LLC is seeking a dedicated full-time Hospital Collector to manage medical and hospital collections with the utmost quality and integrity. This role is crucial in ensuring compliance with client contractual agreements and requires a strong understanding of medical billing processes, precertification protocols, and the intricacies of hospital collections and insurance denials.

Key Responsibilities:
  • Demonstrate comprehensive knowledge of insurance payment regulations, including reimbursement structures, coinsurance, deductibles, and contractual adjustments.
  • Possess familiarity with Medicare, Medicaid, Managed Care, and various Commercial Insurance plans.
  • Interpret Explanation of Benefits (EOBs) and fee schedule contracts accurately.
  • Exhibit a thorough understanding of claims processing, billing codes, and hospital collection practices.
  • Effectively submit appeals, reconsideration requests, corrected claims, and mail claims to secondary insurers.
  • Utilize modifiers and bill types proficiently.
  • Review adjudicated claims to ensure timely filing and optimal payment collection.
  • Maintain knowledge of HIPAA regulations and compliance as they pertain to job responsibilities.
  • Display strong interpersonal and communication skills, working effectively in a collaborative environment.
  • Demonstrate high attention to detail and the ability to manage multiple tasks simultaneously.
  • Utilize Microsoft Word, Excel, and other necessary software to fulfill job duties.
  • Possess precertification knowledge and experience.
  • This position is remote and intended for candidates located in the OKC metro area.
Qualifications:
  • Minimum of 1 year of experience in medical collections is preferred.
  • Experience in Oklahoma medical collections is essential.
Benefits:
  • 401(k) with matching
  • Dental and Vision Insurance
  • Disability and Life Insurance
  • Flexible Spending Account
  • Employee Assistance Program
  • Paid Time Off
  • Work from Home Opportunities


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