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Collection Agent - Medical Team

We are looking for an individual who can, under general supervision, perform a number of accounting functions relative to State Medicaid recovery. The purpose of this position is to ensure that all collections for the Bureau of Medical Collections are posted to the correct case, debt or obligation.

The Collection Agent is responsible for assigning receipts to the correct case, adjusting debts and obligations in the ORS computer system, doing credit adjustments to Medicaid claims, preparing and distributing reports to management and staff and ensuring the accuracy of the accounting records of the bureau. They review and research all checks received; determine the correct case to which to assign the payment; and inform the Accounting section how the check is divided between cases. Prepare electronic and manual credit adjustments; make adjustments to case debts and obligation to reflect the amount owed; and enter new debts and obligations into the computer as needed to maintain an accurate record of the amount owed in each case. Other duties include accepting incoming calls from medical providers, Medicaid recipients, and legal professionals.

Principal Duties:
The Collection Agent also performs the following tasks:
  • Reviewing, processing, and verifying accounts and account balances; preparing and processing billings, claims, warrants, disbursements, and related documents.
  • Reviewing invoices, warrants or other documentation; checking accuracy of figures; coding authorizations, exceptions, discounts, taxes, etc.
  • Preparing and/or processing documents; reviewing for accuracy and completeness; updating information and/or evaluating against policy; comparing elements for consistency and/or logical relationships, etc.
  • Reviewing documents and reconciling discrepancies; making needed adjustments.
  • Receiving, researching, and responding to incoming questions or complaints; providing information, explaining policy and procedures, and/or facilitating a resolution.
  • Conducting interviews to gather or clarify information.
  • Evaluating all the information to determine a case's status.

Ideal Candidate:
The model candidate for this position is someone who:
  • Is proficient with a ten key
  • Is proficient with computers, programs, and applications
  • Deals with people in a manner which shows sensitivity, tact, and professionalism
  • Possesses skilled interviewing techniques and investigative techniques and processes

Preference may be given to candidates with professional work experience in medical billing/coding and/or accounts payable/accounts receivable

Why You Should Join Our Team
Not only will you work with a fantastic team, this is a great opportunity to advance your career.

The Agency
The Office of Recovery Services is part of the Department of Human Services. For more information on the Office of Recovery Services, please click here.

Example of Duties
Additional skills:
  • using basic/business math to solve problems
  • speaking clearly, concisely and effectively; listening to and understanding, information and ideas as presented verbally
  • reading, interpreting, and applying laws, rules, regulations, policies and/or procedures
  • familiar with laws governing access to public and private records (Government Records Access and Management Act)
  • principles, theories, and practices of the Medicaid/Medicare system
  • reconciling financial statements
  • following written and/or oral instructions
  • communicating information and ideas clearly, and concisely, in writing; reading and understanding information presented in writing
  • using the telephone in a professional and courteous manner
  • reviewing and/or editing documents for accuracy and completeness

Supplemental Information
  • Preference may be given to candidates with medical billing/coding and/or accounts payable/accounts receivable experience.

  • Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.

  • Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.