Oasis Behavioral Health

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Business Office Coordinator

at Oasis Behavioral Health

Posted: 2/25/2019
Job Status: Full Time
Job Reference #: f35001cb-74fc-4ccb-afea-c090b8d7d1dc
Keywords: data entry

Job Description

Sonora Behavioral Health, Tucson's largest inpatient psychiatric hospital, is looking for a full time Biller/Collector to join our team. The Biller/Collector is responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections. We are seeking an individual who is able to work in a fast paced department, meet deadlines with accuracy, and effectively communicate with different departments in our hospital.


BILLER/COLLECTOR PURPOSE STATEMENT:

Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections. 

ESSENTIAL FUNCTIONS:

  • Responsible for verification and interpretation of insurance benefits and establishing financial arrangements with guarantor/patient. 
  • Estimate patient out-of-pocket and make financial arrangements with guarantor/patient.  Post payment and follow up with claims. 
  • Prepare and review all billing forms to ensure accuracy and completeness for claims submission to insurance carriers and back up for Medicare and Medicaid claims.
  • Process claims electronically or hard copy with 100% accuracy and mail claims to insurance carriers timely.
  • Enter documentation and adjustments through computer system to maintain a correct account balance.
  • Update system information according to correspondence received and processed.  Document any changes and submit to appropriate staff.
  • Review charge summaries on each patient bill that is produced and identify discrepancies with 100% accuracy.
  • Consistently apply appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.
  • Initiate appropriate follow-up and collection calls.
  • Review remittance advice statements for payments and adjustments on a daily basis and initiate appropriate data entry for patient charge or account discrepancy on review.
  • Identify denial and pending reasons and investigate, resolve and initiate information to secure reimbursement.
  • Perform other functions and tasks as assigned.

 

 

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

  • High school diploma or equivalent required.
  •  Must have at least 3 years' experience in related field.
  •  Must have extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid.

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!