What are the responsibilities and job description for the Medical Collections Specialist position at Acadia Behavioral Health (Pioneer Behavioral Health)?
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
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
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