Medical Collections Specialist

Call and status outstanding claims with third party payors. * Review claims issues and make corrections as needed and rebill. * Utilize claims clearing house to review and correct claims. Resubmit electronically when available. * Review explanation of benefits to ascertain that claim processed and paid correctly. * Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation. * Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum. * Prorate patient accounts and monitor that balance due is in the correct financial class. * Report an overview of the week to the BOD and participate in AR meetings. * Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment. * Assist financial counselors as needed. * Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * High school diploma or equivalent required. * Three or more years' prior admissions and or collections experience in a hospital setting required. * Psychiatric experience preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Not applicable We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. AGAVEIN LI#AR