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Managed Care Collector

Universal Health Services

Job Code:
Universal Health Services
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Job Details

Managed Care Collector

Job Code:  241257
Facility: Laurel Heights Hospital
Location: ATLANTA, GA US
Travel Involved: None
Job Type: Full Time
Job Level: 
Minimum Education Required: Bachelor's Degree 
Category: Accounting/Finance
FTE: 1.0
Position Summary:
Laurel Heights Hospital located in Atlanta Georgia has a full-time Collector/Financial Counselor opportunityin our business office. Laurel Heights Hospital is anintensive Residential Treatment/Acute and Autism Spectrum Disorders Program for children and adolescents. We serve and treat severe and complex psychiatric and behavioral difficulties and co-occurring psychiatric issues. We provide a caring, therapeutic setting with various therapeutic modalities and applied behavior analysis services. PURPOSE: This position will serve as the collector for the hospital and financial counselor for our clients. Coordinates the various support services and will work with the Business Office Mgr to ensure that the office runs smoothly. In conjunction with corporate office, coordinates accounts receivable for private pay residents, Medicare beneficiaries, Managed Care payers, and Medicaid recipients. ESSENTIAL FUNCTIONS: Serve as a resource for patients regarding problematic accounts. Thoroughly audit patients accounts when necessary, providing supporting documentation to assist them in interpreting and understanding their account. QUALIFICATIONS: Maintenance, input, and update of the healthcare billing system to ensure accurate and timely monthly billing, including processing the claims and collections of Medicaid, insurance, and private pay. Perform ALL insurance eligibility checks and insurance coverage/benefits and with insurance companies and/or websites Review healthcare accounts receivable to maximize collections including reviewing and resubmitting previously denied claims for coverage issues, same and similar, missing/invalid submission information, and other denials. Responsible for services requests associated with Medicaid, and insurance billing, audits, appeals and insurance information and others as assigned, with appropriate attention to detail to meet response time frame. Follow up on all claims within 30 days. Demonstrates positive customer service and communication skills with patients, their families, staff and all other company contracts Experience with MedSeries4/AS400, Emdeon or similar electronic submission applications. Must be able to work occasional weekends to assist in month end process.
SKILLS, KNOWLEDGE AND ABILITIES: . Highly effective verbal and written skills, organizational skills . Requires a thorough knowledge of all billing and collection concepts, practices, and procedures. EDUCATION: Required: Bachelor's degree in Accounting or Finance. At least two years experience in a same or similar role may substitute for education. Preferred: Advanced training using various computer applications. EXPERIENCE: Required: Minimum of 2 years experience as a biller in a hospital business office or healthcare related field with at least three years experience managing accounts receivable. Experience and knowledge with Georgia Medicare and Medicaid, and hospital finance functions. Preferred: experience workingin psychiatric hospital business office setting. PHYSICAL REQUIREMENTS: . Must be able to lift and carry up to 25 pounds. . Must be able to handle 20-40 telephone contacts daily. . Majority of time is spent sitting. . Requires corrected vision and hearing to normal range.

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