Healthcare Non-Government Collector

As Mount Sinai grows, so does our legacy in high-quality health care.Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.Culture of Caring: The Sinai WayOur hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.Department:Job Description Summary:Healthcare Non-Government CollectorThe Healthcare Non-Government Collector is responsible for managing assigned accounts receivable balances and securing maximum reimbursement from insurance carriers and patients. This role performs follow-up on unpaid, underpaid, denied, and rejected claims, processes appeals, reviews explanation of benefits (EOBs), and ensures timely account resolution. The collector maintains productivity goals, works aging accounts, processes correspondence and insurer requests, and recommends accounts for external collections when appropriate. Accurate documentation, compliance with collection regulations, and protection of patient confidentiality are essential.Key Qualifications:High school diploma or equivalent requiredMinimum one year of healthcare collections experienceKnowledge of insurance follow-up, claims appeals, denials, and reimbursement processesStrong communication, customer service, and problem-solving skillsAbility to manage a high-volume workload while maintaining accuracy and productivity standardsUnderstanding of healthcare collection laws, compliance requirements, and patient confidentiality practices (HIPAA)Provide your feedback on BizChatPosition ResponsibilitiesWorks aged trial balance as assigned in the collector workstation by phone or online. Responsible for 1000-1400 accounts. Collects maximum reimbursement from all sources.Attempts to collect balance in full on all patient owed balances. Sends appropriate collection letter as necessary. Verifies accuracy of information.Follows-up with underpaid, rejected, denied accounts with patient/guarantor or insurance company, phone follow-up or online, sends appropriate collection letter or documentation to get account resolved and paid. Files appeals as appropriate based on the department policy.Recommends to lead/collection manager or other appropriate source accounts to be referred to outside collection agencies or attorneys.Documents patient account of all patient contact, insurance follow up, updated information as necessary, ensures information is accurate. Processes all request within 48 hours.Maintains knowledge of collection laws and guidelines, along with basic knowledge of charity care guidelines, liens, estate proof of claims, state guidelines.Maintains high level of productivity while maintaining accuracy. Maintains goal to work 50 to 60 accounts per day. Maintains A.T.B. under 90 days.Responds to director/manager/lead request for information and assistance in a timely and courteous manner. Completes all task assigned.Works correspondence daily. Responds to all request within 48 hours.Ensures appropriate adjustments are processed for all accounts that have not been properly adjusted by the system as necessary. Reviews explanation of benefits as needed to maximize reimbursement.Processes request from insurance companies in a timely manner, includes re-bills, faxing of claim, request for information.Assists customer service with call volume as needed.Maintains patient confidentiality and protects medical information at all times, follows compliance guidelines consistently.Complies with department guidelines and procedures. Demonstrates a willingness to assist co-workers in the completion of daily task or special projects adjusting schedule to department needs.Ensures that Insurance aging greater than 90 days should not exceed 20% of total insurance outstanding.QualificationsLicense/Registration/CertificationNoneEducationHigh School graduate or equivalent level of training.ExperienceOne year practical experience in Healthcare Collections.Benefits:We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:Health benefitsLife insuranceLong-term disability coverageHealthcare spending accountsRetirement planPaid time offPet InsuranceTuition reimbursementEmployee assistance programWellness programOn-site housing for select positions and more!Degree Requirements:Certification: #J-18808-Ljbffr Mount Sinai Medical Center