Job Summary: Under the direction of the Supervisor, Central Business Office, the Medical Insurance Collector’s responsibility is to work accounts receivable to maximize reimbursement.

Essential Job Functions

Works accounts receivable in assigned area to maximize reimbursement. Utilizes knowledge of PPO, HMO, and Government guidelines.

Contacts various payers and patients to collect on outstanding accounts. Tracks and enters all calls for documentation, trending and reporting.

Identifies patterns of insurance concerns that directly impact cash flow.

Handles multiple insurance and patient incoming calls and responds to each call in an efficient, effective, and professional manner.

Ascertains account information and makes necessary corrections in regards to the insurance data or patient’s registration.

Maintains ongoing knowledge of third party billing requirements. Understands billing timeliness and urgency in meeting all claims and filing deadlines. Keeps current with knowledge of payer contracting agreements.

Maintains daily work file, assigned reports and or special projects.

Reviews and responds to Insurance and/or Patient correspondence timely.

Reviews and responds to site correspondence timely.

Reports to supervisor any concerns or discrepancies in a timely manner.

Performs other duties as assigned.

Requirements

High School diploma or GED required.

Must have 3 years of medical billing and collections experience.

Medicare billing experience a plus.

CPSI experience preferred.

Microsoft Office knowledge preferred.

Familiarity with medical terminology, coding (CPT/ICD9/HCPCS) and standard electronic billing format.

Other Skills/Abilities

Knowledge of medical billing and collecting.

Excellent problem resolution experience and client advocacy skills.

Requires good written and verbal communication skills to communicate effectively with individuals at all levels of the organization.

Must be able to work under general supervision.

Must have a professional and mature demeanor.

Must be able to work in a fast-paced department and handle multiple tasks, work with interruptions and deal effectively with confidential information.

Strong telephone etiquette.

Benefits are available with this position.