Medical Insurance Collector

Acadia Healthcare; Chandler (AZ); On-site; USD 40,000 - 55,000; Full time

Job summary

Harboroaks in Chandler, Arizona seeks an experienced individual for claims processing. The candidate should possess a high school diploma and have at least three years of experience in admissions or collections in a hospital setting, with psychiatric experience preferred. Responsibilities include managing claims with third-party payors, reviewing claims, ensuring daily productivity, and reporting to the Board of Directors. The position is essential for effective financial management within the organization.

Qualifications

• Minimum of three years' experience in admissions or collections in a hospital.
• Psychiatric experience preferred.

Responsibilities

• Manage claims with third-party payors.
• Review and correct claims as needed.
• Maintain daily productivity and report to BOD.

Skills

Claims processing

Data interpretation

Patient accounting systems

Communication skills

Education

High school diploma or equivalent

Job description

Responsibilities

• 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.

Qualifications

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

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