Hospital Collector Specialist
4 days ago
Surgical Hospital of Oklahoma LLC is seeking a highly skilled and detail-oriented Hospital Collector to join our team. As a Hospital Collector, you will be responsible for ensuring medical/hospital collections are completed with the highest quality and integrity, while maintaining full compliance with client contractual agreements.
Key Responsibilities:
- Excellent working knowledge of insurance carriers' payment regulations, including reimbursement, coinsurance, deductibles, and contractual adjustments
- Knowledge of Medicare, Medicaid, Managed Care, and Commercial Insurances
- Ability to read and interpret EOBs and fee schedule contracts
- Complete familiarity and understanding of claims, billing codes, and hospital collections
- Knowledge of how to submit appeals, reconsideration requests, corrected claims, and mail claims to secondary insurances
- Understanding of modifier usage and bill types
- Review adjudicated claims for timely filling and proper payment to ensure maximum payment is received
- Knowledge of HIPAA regulations and compliance as related to job performance
- Strong interpersonal and communications skills
- Able to work successfully in a team-oriented environment
- Strong written and oral communications skills
- High attention to detail and the ability to multi-task
- Able to perform tasks in Microsoft Word, Excel, and other Microsoft Office programs required to complete responsibilities
- Able to work within/learn other software as required
- Precertification knowledge/experience
Requirements:
- Medical collection experience: 1 year (Preferred)
- Must have Oklahoma medical collections experience
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Work from home
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
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