Medical Collections Specialist

Deeroaks; San Antonio (TX); On-site; USD 40,000 - 60,000; Full time

Job summary

A leading behavioral health service provider is seeking a full-time medical collections specialist in San Antonio. The role involves handling insurance collections, appeals, and coordinating with revenue cycle staff. Ideal candidates will have experience in healthcare collections and excellent interpersonal skills.

Qualifications

• Must be computer literate.
• Familiar with navigating insurance websites and portals.
• Knowledge of Medicare and Medicaid preferred.

Responsibilities

• Handle collections of primary, secondary, and tertiary insurance receivables.
• Work all Collections correspondence and coordinate with other revenue cycle staff.
• Generate claims for secondary and tertiary insurance.

Skills

Interpersonal skills

Attention to detail

Time management

Solution oriented

Education

Healthcare collections experience

Basic knowledge of HIPAA guidelines

Job description

Description

Deer Oaks – The Behavioral Health Solutionis 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 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 the San Antonio Medical Center area, Mon-Friday, 8am to 5pm standard work hours. This is an on-site role.

EEO Statement

It our policy to provide equal employment opportunity and treat all employees equally regardless of age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, genetic information or genetic predisposition or carrier status, marital status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Qualifications

Behaviors

Required

Team Player

Team Player

: Works well as a member of a group

Detail Oriented

Detail Oriented

: Capable of carrying out a given task with all details necessary to get the task done well

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.