Medical Collector

The Medical Collectorcontacts payers for status of payment of outstanding claims, including commercial and government carriers, and patient liabilities in the appropriate time frame. Responsible for rebilling of all claims as needed, including correction of missing/inaccurate data, and appeals of denied claims with appropriate documentation for processing and payment. Identifies and submits appropriate and accurate adjustments to accounts. Identifies and refers uncollectible accounts to outside collection agencies or bad debt write off.

Specific duties include, but are not limited to:

• Initiate follow-up with insurance companies for payments of pending claims.

• Appeals denied claims with insurance carriers.

• Research credit balances to determine if a refund is due. All EOB’s have to be pulled and a check request form is given to Management for approval before a check is cut.

• Reviews and interprets contracts and billing.

• Takes incoming calls from providers or patients meeting service level standards.

• Process payments over the phone.

• Learn the collection system (Intergy) and work flow between other department business partners.

• Other duties as required.

Position Requirements:

• High School Diploma or Equivalent Experience

• Minimum of 6 months prior medical billing/collections experience.

• Experience in healthcare/medical industry preferred.

• Proven experience in using multiple computer screens and applications simultaneously to navigate, type, and access information.

• Experience navigating insurance company web portals.

• Strong multi-tasking abilities.

• Strong verbal and written communication skills.

• Team player with ability to communicate at all levels in the organization and with different types of customers.

Physical Requirements:

Standard Office Environment.

More than 50% of the time:

• Sit, stand, walk.

• Repetitive movement of hands, arms and legs.

• See, speak and hear to be able to communicate with patients.

Less than 50% of the time:

• Stoop, kneel or crawl.

• Climb and balance.

• Carry and lift (ability to move non-ambulatory patients from a sitting or lying position for transfer or to exam).

Residents living in CA, WA, NY, Jersey City, NJ, and CO click here to view pay range information.