Hospital Collector Specialist

4 days ago


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

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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