Medical Insurance Collector
Oasis Behavioral Health
Summary
Responsible for obtaining accurate, timely, and detailed information concerning claims and patient accounts.
Job description
Overview
Responsible for obtaining accurate, timely, and detailed information concerning claims and patient accounts.
Essential Functions
- Call and status outstanding claims with third party payers.
- 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.
Other Functions
- Perform other functions and tasks as assigned.
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
Benefits
- Medical, Dental & Vision
- Life Insurance
- Short & Long Term Disability
- 401(k) Matching
- FSA & HSA
- Employee Assistance Program
- Tuition Reimbursement
- Growth Opportunities
- Paid Time Off
Company overview
Oasis Behavioral Health is a specialized mental health care provider offering comprehensive behavioral health services to individuals and families. The organization focuses on delivering evidence-based treatment programs for various mental health conditions, including depression, anxiety, trauma-related disorders, and substance abuse issues. As a healthcare provider in the behavioral health sector, Oasis Behavioral Health likely operates treatment facilities that provide inpatient, outpatient, and residential care services. The organization emphasizes a holistic approach to mental wellness, integrating clinical therapies, counseling, medication management, and support services to address the complex needs of patients. With a commitment to improving mental health outcomes, Oasis Behavioral Health serves as an important resource in the community mental health landscape, providing accessible and quality care to those struggling with behavioral health challenges. The organization's mission centers on creating supportive environments where individuals can achieve recovery and develop coping strategies for long-term mental wellness.