Hospital Collector - Surgical Hospital Of Oklahoma Llc

Surgical Hospital of Oklahoma has an immediate opening for a full-time Hospital Collector. This position ensures medical/hospital collections are completed with highest quality and integrity and that all work is in full compliance with client contractual agreements. All applicants must have knowledge of medical billing, precertification procedures, hospital collection and denials from insurance companies. Strong knowledge of facility billing/collections procedures is required.

Required Knowledge, Skills and Abilities:

• Excellent working knowledge of insurance carriers' payment regulations including reimbursement, coinsurance, deductibles and contractual adjustments
• Knowledge of Medicare, Medicaid, Managed Care and Commercial Insurances
• Must be able to read and interpret EOBs and fee schedule contracts
• Complete familiarity and understanding of claims, billing codes, and hospital collections
• Knowledge of how to submit appeals, reconsideration requests, corrected claims and mail claims to secondary insurances
• Understanding of modifier usage and bill types
• Review adjudicated claims for timely filling and proper payment to ensure maximum payment is received
• Knowledge of HIPAA regulations and compliance as related to job performance
• Strong interpersonal and communications skills
• Able to work successfully in a team-oriented environment
• Strong written and oral communications skills
• High attention to detail and the ability to multi-task
• Able to perform tasks in Microsoft Word, Excel and other Microsoft Office programs required to complete responsibilities
• Able to work within/learn other software as required
• Precertification knowledge/experience
• This is a remote position based in the OKC metro area

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.