Oasis Behavioral Health

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Medical Biller Collector (Full Time)

at Oasis Behavioral Health

Posted: 10/9/2019
Job Status: Full Time
Job Reference #: 6be29420-0135-4c0e-978b-53bd525cf58e
Keywords: billing

Job Description

ESSENTIAL JOB FUNCTIONS

  • Monitoring Accounts- Use the HMS collection module to monitor accounts from the A/R reports.
  • Verify claim receipt-Payers are contacted within two weeks of billing to verify claim receipt. Resubmit claims immediately if not received.
  • Denials- Denials are resubmitted within two days of receipt.
  • Requests for information- Payers are supplied with the information they requested within two days of receipt.
  • Monthly Statements- To bill co pays and deductibles, statements are billed monthly
  • Authorization issues- Claims denied for authorization issues are responded to by UR within 5 days after the spreadsheet is given to them. Incorrect rates-
  • Overpayments- Claims paid at an incorrect rate are submitted within 3 days of payment receipt
  • Account Audits- Accounts are audited to maintain the integrity of the outstanding balance
  • DES Invoices- DES invoices are reviewed to insure that OBH is liable for each child on the invoice
  • Utilize HMS to fill claims- Bills all claims to payers utilizing HMS, daily census and payer authorizations
  • Claims requirements- Bill all claims per payer requirements
  • Payment Responsibility- Vendor invoices are reviewed to determine payment responsibility

QUALIFICATIONS

  • High School Diploma or equivalent.
  • Minimum of two (2) years related experience, preferably in a hospital setting.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!