Medical Collections Specialist

Solara Surgical Partners; Oklahoma City (OK); On-site; USD 35,000 - 50,000; Full time

Job summary

A healthcare company located in Oklahoma City seeks a dedicated individual for billing and patient account management. Responsibilities include maintaining facility accounts, conducting audits, and ensuring compliance with Medicare guidelines. Candidates should have at least a high school diploma and one year of relevant experience in healthcare billing. Strong interpersonal and organizational skills are essential for this position.

Qualifications

• Minimum one year experience in billing/patient account management in a healthcare setting.
• Knowledge of Medicare/Medicaid and Managed Care contracts preferred.
• Detail oriented with the ability to maintain accuracy while meeting daily deadlines.

Responsibilities

• Maintain facility accounts and collection schedules.
• Audit EOBs for accuracy of reimbursements.
• Handle correspondence, rebills, denials, and appeals.

Skills

Correct collection practices

Medicare Compliance knowledge

Interpersonal skills

Organizational skills

Communication skills

Education

High school diploma or equivalent

Job description

Performs all appropriate collection activities to obtain full reimbursement and payment from patients and third-party payers.

Key tasks and responsibilities (essential functions)

• Maintain and work all facility accounts, meeting all collection activity schedules as established by the Manager.
• Refer difficulties or problems involving billing and collection efforts immediately to the Manager.
• Utilize collection evaluation tools regularly to meet cash collection goals, following through to completion on all patient and insurance questions and problems. Ensure complete and proper documentation in the system.
• Monitor accuracy, timeliness and completeness of patient accounts, including demographic, insurance, referral and pre‑certification information.
• Maintain complete and accurate files of all insurance information and contracts. Keep abreast of insurance changes and requirements. Ensure that up‑to‑date carrier information is maintained in the computer.
• Audit all EOBs to ensure accuracy of reimbursements and proper adjustments have been made.
• Complete all correspondence, rebill, denials and appeal processes as needed.
• Maintain and handle maintenance of system relating to patient accounting.
• Maintain expert knowledge of A/R system and A/R system reports.
• Maintain adequate computer supplies on hand, e.g., paper, insurance forms, ribbons, etc.
• Maintain updates and modification of all code books as published.
• Review all Medicare cases to ensure compliance.
• Help maintain patient confidentiality standards for both medical and financial information.
• Keep job related skills current through training programs.
• Participate in all compliance programs.
• Participate in loss prevention by protecting company assets and maintaining a safe environment.
• Performs other related duties incidental to the work required in this job description.

High school diploma or equivalent required. Minimum one‑year experience in billing/patient account management in a healthcare setting. Proven knowledge of correct collection practices, knowledge of Medicare Compliance billing guide, Medicare/Medicaid and Managed Care contracts preferred. Knowledge of global and bundling coding guidelines helpful. Good interpersonal skills, excellent telephone etiquette, good verbal and written communication skills. Detail oriented with good organizational skills and ability to maintain accuracy while meeting daily deadlines. Good personal credit report.