JOB DESCRIPTION
Title: Medical Collector
FLSA Status: Non-Exempt
Job Summary (Purpose and Function):
Position coordinates the functions of Collections and Customer Service on individual patient account. The incumbent will have specific knowledge on Managed Care, PPO or Commercial accounts and use this information to ensure patient demographic information is accurate, and funding source is billed and collected appropriately, accurately and timely.
Accountabilities (For Non-exempt Employees Include Percent of Effort): Make and receive phone calls from patients and insurance companies 20%
regarding accounts. Respond to all requests for information or clarification necessary for the payment of outstanding accounts.
- Review Accounts Receivable and identify unpaid or underpaid claims; 20%
determine reason(s) for balance and take appropriate steps to contact
appropriate party to resolve payment issue(s). Document all follow-up actions
in assigned work-queues to include telephone notes based on work to
resolve outstanding issues. Keep accurate notes of all activity
- Advise Supervisor/manager on trends of payment and problems 12%
as seen by doing reconciliation of logs with payer.
- Prepare adjustment forms as needed to correct accounts and submit these forms 10%
to supervisor/manager
- Participate in the resolution of complex billing questions and inquiries; 10%
as well as perform/act as knowledgeable resource for staff related to data
integrity, application of plan benefits to patient accounts, and compliance
with payer specific, state and federal rules and requirements. Inform
Supervisor/Team Lead/Manager of payment discrepancies; and ensures
that all payer reason codes, remark codes, payer correspondence are posted
timely and accurately;
7. Bill or rebill accounts in order to finalize accounts. 3%
8. Solves issues with the payers; debit and credit balances; and respond to all 10%
requests for information or clarification necessary for the payment of
outstanding accounts
8. Meets or exceed established key performance standards 10%
- Participate in special assignments/projects as directed by the Supervisor; 5%
and perform other duties as assigned
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
Supervision Received:
Report to the Collections Supervisor
Supervision Exercised:
None
Minimum Qualifications (Essential Requirements):
High school graduate with relevant and effective work experience. Minimum one year of medical billing and collections experience, including understanding of medical center and medical revenue cycle processes. Knowledge of Managed Care, PPO, HCFA 1500, medical terminology, CPT4 codes, ICD9 codes, technical job knowledge, and Third Party payer requirements and reimbursement rules. Knowledge of contracts that are in force for hospital, physicians, and rules and guidelines that govern collection activities required. Must have computer skills and experience in Excel
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Medical billing and Collections: 1 year (Required)
Ability to Relocate:
- Miami Lakes, FL 33016: Relocate before starting work (Required)
Work Location: In person