Medical Collector

Job Description

Job Description

Summary:

The Medical Collector is responsible for assuring the timely submission of claims to insurance companies from and on behalf of providers/customers of United. Collectors are also responsible for the collection of payments from the insurance companies.

Responsibilities:

• Review patient bills for accuracy and completeness; obtain missing information.

• Identify the insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances.

• Confirm billing tasks are completed on a computerized health information technology (HIT) system using USMON

• Utilize a combination of electronic health record (EHR) and paper records to perform billing duties; maintain an accurate, legally compliant medical record.

• Review insurance payments for accuracy and compliance with contract rates

• Review denials or partially paid claims and work with the parties involved to resolve any discrepancies (reprocess/appeal denied claims)

• Manage assigned accounts, ensuring outstanding/pending claims are paid in a timely manner and contacting the appropriate parties to collect payments.

• Communicate in a cordial manner with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment.

• Consult supervisor, team members, and appropriate resources to solve billing and collection questions and issues.

• Maintain work operations and quality by following standards, policies, and procedures; escalate compliance issues to the supervisor.

• Perform a variety of administrative duties, including but not limited to: answering phones, faxing and filing confidential documents, and basic internet and email utilization.

• Provide excellent and professional customer service to internal and external customers.

• Function as a contributing team member while meeting deadlines and productivity standards.

Qualifications:

• Two years’ experience with medical billing/collecting

• Effective oral and written communication skills

• Computer proficient in database management and Microsoft Office

• Resourceful, highly dependable, process-driven, and detail-oriented