What are the responsibilities and job description for the Medical Collections AR Follow Up Specialist position at Deer Oaks?
Deer Oaks – The Behavioral Health Solution is a leading provider of behavioral health services across the country and now growing its administrative team. Our Revenue Cycle department is seeking a full -time experienced Medical Collections AR Follow Up Specialist. Be a part of the Deer Oaks Difference. The Collections Specialist works as a member of the Collections Department.
Responsibilities Include:
· Handling collections of primary, secondary, and tertiary insurance receivables
· Handling appeals for denials and reworking rejections
· Work all Collections correspondence
· Coordinating with other revenue cycle staff
· Works Overpayment Notices
· Initiate resolution to refund requests
· Responsible for minimizing aging of accounts
· Works Medicaid Pending, Unbilled, and Denial reports
· Generates claims for secondary and tertiary insurance
Qualifications:
· Healthcare collections experience is preferred
· Must be computer literate
· Have good interpersonal skills
· Work well in a team environment
· Excellent written communication
· Time management
· Knowledge of Medicare and Medicaid preferred
· Specialized knowledge of claim filing and appeal filing deadlines preferred
· Some experience with other commercial insurances helpful
· Basic knowledge of medical billing and collections terminology and regulations
· Understands and recognizes the difference between a contractual adjustment and write off
· Ability to maneuver through assigned work queues
· Understanding Denial, Unbilled, Addendum and Medicaid Pending reports
· Basic knowledge of HIPAA guidelines
· Familiar with navigating insurance websites and portals
· Correctly interpret payer EOBs/Remit information
· Solution oriented
· Clearly documents all information obtained while working accounts (name of person spoken with, number called, reference number, problem, actions taken, follow up date and initials)
· Strong attention to detail
· Able to spot trends and escalates accordingly
· Able to locate and interpret payer specific billing guidelines
· Ability to work with performance goals and measurements.
Must be able to reliably commute to 7272 Wurzbach, San Antonio, TX 78240.
