Job Description
Job Description
Summary:
The Medical Collector is responsible for assuring timely submission of claims to insurance companies from and on behalf of providers/customers of United. Collectors are also responsible for collection of payments from the insurance companies.
Responsibilities:
- Review patient bills for accuracy and completeness; obtain missing information.
- Identify 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 (HER) 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 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
Monday through Friday from 8:30 AM to 5 PM