Collector - Medicare

Full-time , Days , M-F 8:00 am-4:30pm Hours/Pay Period: 80

FTE: 1

Job Description The Medicare Collector manages follow-up on assigned Medicare accounts to make sure claims are resolved and paid accurately and on time. Key Responsibilities Follow up on assigned accounts in the billing and collection systems, following department procedures and meeting productivity goals. Submit required documentation to speed up payment. Respond promptly and accurately to questions and correspondence from payers, patients, and other parties. Confirm that all conditions for payment are met, including accurate charges, ICD-10-CM and CPT coding, prior authorization, insurance eligibility, and benefit coverage. Review reports to find denials and edits, correct claims, and decide whether to rebill or appeal. Recommend action plans to prevent repeat denials. Review accounts for needed write-offs or adjustments, following department procedures. Stay current on department software and on Medicare billing rules and requirements. Required Skills & Qualifications High school diploma or equivalent 1 year of collections experience in a hospital or medical business office; Medicare collections experience preferred. Knowledge of medical terminology. Familiarity with Medicare claims tools and appeals process preferred. Working knowledge of computers, including billing systems and Microsoft Office Typing speed of 35 wpm with accuracy Strong communication and problem-solving skills Your Extraordinary Career Starts Here We invite you to join our team of professionals where your unique talents will be well utilized in a work environment that promotes your further growth and development. In return for your valuable service and contributions, Powers Health offers a competitive wage and benefits package along with the necessary tools, resources, and mentoring opportunities to support your career advancement goals. Our comprehensive benefits program includes, but is not limited to: Medical, dental and vision coverage Wellness program, including free screenings Healthcare and Dependent Care Spending Accounts (HSA) Retirement savings plan Life insurance Disability income protection Employee Assistance Program (EAP) Fitness center discount program Tuition assistance and career development Paid Time Off (PTO) Reward and recognition programs Join our team of healthcare professionals at Powers Health . #J-18808-Ljbffr Powers Health