Medical Insurance Collector

South Sound Behavioral Hospital•Lacey, WA

1d•Onsite

About The Position

South Sound Behavioral Hospital is seeking an experienced and detail-oriented Medical Insurance Collector to join their team. This pivotal role ensures the efficient billing of behavioral health and chemical dependency claims. The Medical Insurance Collector will be responsible for the timely follow-up and collection of these claims for Inpatient and Outpatient levels of care to ensure reimbursement from various insurance companies. This position serves as the main point of contact between the facility, insurance companies, and third-party payers to resolve outstanding balances. The role requires expertise with all managed care contracts, government intermediaries, and knowledge of current regulatory requirements for prompt and accurate reimbursement. Key job functions include identifying payer issues, performing account follow-up, coordinating claim activities, verifying insurance payments, researching and resolving denials, maintaining third-party logs, data entry, reading and understanding EOBs, monitoring accounts, meeting collection goals, resolving credit balances, and supporting leadership with reporting needs.

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.
May be required to work occasional overtime and flexible hours.

Nice To Haves

Experience with insurance billing
Experience with computer and business software programs (Excel)

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.
Perform account follow-up on outstanding balances and take 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.
Verify 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.
Monitor and/or follow-up on accounts with precise documentation and calculations.
Utilize 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.
Work with Coders and Billers to ensure accuracy of claims.
Support leadership with daily, weekly monthly reporting needs as required.