Medical Collector

Job Description

Job Description

MEDICAL COLLECTOR OVERVIEW

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