Medical Insurance Collection Specialist

South Sound Behavioral Hospital•Lacey, WA

50d•Onsite

About The Position

JOIN OUR TEAM AS A MEDICAL INSURANCE COLLECTOR! MONTHLY BONUS OPPORTUNITY! Your Work Matters How will you make a difference? Are you an experienced and detail-oriented Medical Insurance Collector ready to take on a pivotal role in ensuring the efficient billing of behavioral health and chemical dependency claims? Join our team at South Sound Behavioral Hospital! As the Medical Insurance Collector, you will be responsible for the timely follow-up and collection of behavioral health and chemical dependency claims for Inpatient and Outpatient levels of care to ensure the reimbursement of claims from various insurance companies. This position is the main point of contact between the facility, insurance companies, and third-party payers to resolve all outstanding owed balances. Candidate will use their skills and knowledge to follow up on claims to ensure timely and appropriate collections. This role includes all aspects of revenue cycle collections including denial management, appeals, and accounts receivable collections. Must have expertise with all managed care contracts, government intermediaries, and has knowledge of current regulatory requirements to ensure prompt and accurate reimbursement.

Requirements

High School graduate or equivalent preferred.
A minimum of one (1) years’ experience in a health care collections or related field, or any combination of education, training, or experience in a health care business office environment.
Experience with insurance billing, computer and business software programs (Excel) preferred.
Knowledge of Microsoft Office including word, excel, and outlook.
Excellent communication skills and a professional demeanor is needed.
Detail oriented and possessing strong time management skills is necessary in order to manage multiple priorities in a fast-paced environment.

Responsibilities

Identify payer issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management.
Performs account follow-up on outstanding balances and takes the necessary action for account resolution in accordance with established federal and state regulations.
Ensure the coordination of claim activities on various insurance portals and via phone to check claim status and resolve claim issues.
Verifies insurance payment is in alignment with payer contract by reviewing the contract status log and EOB received.
Research and resolve insurance denials.
Identify reason for claim rejections and complete proper action to ensure timely billing.
Maintain third-party logs.
Data Entry
Able to read and understand an EOB.
Monitors and/or follows-up on accounts with precise documentation and calculations.
Utilizes the previous documentation comments in order to follow up in the appropriate manner.
Meet daily collection goals.
Resolve credit balances with insurance company timely and accurately.
Works with Coders and Billers to ensure accuracy of claims.
Supports leadership with daily, weekly monthly reporting needs as required.