Medical Collections Resume Samples

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F Beier

Francis

Beier

11134 Minerva Ports

Los Angeles

+1 (555) 817 1944

11134 Minerva Ports

Los Angeles

Phone

p +1 (555) 817 1944

Experience Experience

Houston, TX

Medical Collections Manager

Houston, TX

Reichel LLC

Houston, TX

Medical Collections Manager

Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed
Assists in evaluation of reports, decisions, and results of department in relation to established goals
Maintains individual productivity and performance standards
Coaches and assists assigned personnel to maximize productivity and teamwork which includes providing work direction, managing performance, supporting training and development, administering company policies and fostering positive employee relations
Develops and institutes collection philosophy for multiple entities along with bad debt companies
Presents and effectively conveys MEDNAX Services, Inc. position on delinquent or incorrect payment to insurance companies, patients, MDs and department of insurance
Performs assignments accurately and on time, as directed

Detroit, MI

Medical Collections Specialist

Detroit, MI

Orn, Friesen and Feest

Detroit, MI

Medical Collections Specialist

Provide counseling and budgeting suggestions in assisting patients with repayment of obligations
Analyze and determine reasons for either actual or potential delinquency and assist patients in developing a plan to pay accounts current
7. Provide counseling and budgeting suggestions in assisting patients with repayment of obligations
6. Analyze and determine reasons for either actual or potential delinquency and assist patients in developing a plan to pay accounts current
Assist any walk-in patients with their questions, concerns or payments
Work directly with, and act as a representative of CPFCC between outside collection agencies or attorneys
Make outbound courtesy calls to patients regarding accounts greater than 70-90 days past due

present

Phoenix, AZ

Medical Collections Team Lead

Phoenix, AZ

Krajcik-Koepp

present

Phoenix, AZ

Medical Collections Team Lead

present

Assists with Associates’ difficult accounts and workload and continually provide training to the Associates
Assist on various special projects as determined by the Manager
Assists on various special projects as determined by the Manager
Performs other job-related duties within the job scope as requested by Management
Works closely with the Manager on a daily basis to ensure a smooth operation within the department
Perform other job-related duties, within the job scope as requested by Management of Patient Accounts
Assists with tasks, as assigned by the respective department Manager

Education Education

Associate’s Degree

Cornell University

Associate’s Degree

Skills Skills

Basic knowledge of FDCPA
Basic Knowledge of UB-92 and Explanation of Benefits (EOB) interpretation
Basic knowledge of CPT and ICD-codes
Ability to work with a team setting and be supportive of the team members
Ability to work successfully in a fast paced environment
Understanding HIPAA/ regulations
Essential computer skills on a PC or Mac
Effective verbal and interpersonal skills

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6 Medical Collections resume templates

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Medical Collections Specialist Resume Examples & Samples

3+ years of Medical Collections experience
Certification from an accredited Medical and Billing school
Knowledge of Business and Accounting processes
Associate's Degree in Accounting, Business Administration, or Health Care Administration

Medical Collections Specialist Resume Examples & Samples

Certification from an accredited medical and billing school
Polished and professional demeanor
Knowledge of business and accounting processes usually obtained from an Associate's Degree in Business Administration, Accounting or Health Care Administration

Medical Collections Specialist Resume Examples & Samples

4+ years of Insurance Billing and Collections experience
Exceptional mathematical skills
Orthopedic Surgeon collections experience

Medical Collections Associate Resume Examples & Samples

Experience working an accounts receivable aging and writing appeals
General knowledge of CPT/ICD10
Ability to maintain a positive attitude
Comfortable working independently and a team environment

Temporary Medical Collections Specialist Resume Examples & Samples

50+ collection calls and/or correspondence daily in a fast paced goal oriented medical billing department
Timely and accurate tracking of payments, denials and adjustments on the patient’s outstanding accounts receivables via phone and or electronic contact. Accurate and detailed notes will be documented in the patient’s ledger of action taken
May require research into insurance carrier’s medical criteria and address patient questions or concerns
Report on productivity, collections, procedures, and patient accounts
Excellent customer service skills required, 2 years collection and billing experience preferred
Ability to read and interpret insurance payer contracts and Explanation of Benefits
Strong verbal and written communication proficiency to communicate with external customers to facilitate the collection and billing processes
Computer skills including Windows, Microsoft Office, and prior database administration

Medical Collections Representative Resume Examples & Samples

Collect on past due medical debt via inbound and outbound calls
Working with attorney's, insurance and any authorized third party
Handle any claim disputes
Create payment arrangements with clients
Skip tracing
Maintain accuracy of assigned work processes
Participate in monitoring individual daily work process for compliance with all rules and regulations, accreditation standards and laws that apply, Specially those that fall under HIPAA and FDCPA
Initiate reporting of compliance concerns following the Allina Health or business unit specific policy and procedure established for reporting compliance issues

Medical Collections Representative Resume Examples & Samples

Contacts insurances through a variety of methods (e-mail, form letters and phone calls) to discuss, negotiate payment and resolve outstanding medical bill accounts and balances
Obtains agreement, after discussion with customer (Hospitals), on potential balance payoff and/or payment terms within stated level of authority and guideline limits
2+ years of Medical Billing/Collections experience
Functional Knowledge of Payer Terminology
6+ months of Claims (Managed Care, Medical Care, Medical Insurance) Resolution experience
Certification as a CPAR (Certified Patient Account Representative)
Advanced skills interpreting carrier EOBs
Previous work experience with UB04 (Form hospitals use to Bill)
Previous experience handling Government Medicaid Payers with an of understanding State Guidelines
Must possess excellent organizational skills and be able to prioritize workflow

Medical Collections Specialist Resume Examples & Samples

Growing organization supporting one of the largest healthcare systems in the country
Competitive salaries and a monthly bonus opportunity
Innovative compensation plan that allow for possible salary increases every 90 days
Perform collections activity based on collection queue/production goals
Be a mentor to new employees and assist in their training and development

Medical Collections Specialist Resume Examples & Samples

Contact and follow-up with patients regarding delinquent statement balances and accounts. Must meet minimum performance standards for account contacts per day and maintain an acceptable level of delinquency balances
Make outbound courtesy calls to patients regarding accounts greater than 70-90 days past due
Document discussions with and/or promises from patients in the collections system
Send letters to dismissed patients for balance delinquency and doctor-patient relational problems
Locate accounts with old or bad information through skip-tracing
Work directly with, and act as a representative of CPFCC between outside collection agencies or attorneys
Research and resolve all questions and discrepancies presented by patients
Process bankruptcy notifications and suit requests from collection attorney
Process correspondence from patients concerns regarding account
Process and review statements and refunds

Medical Collections Specialist Resume Examples & Samples

Experience with medical claims, insurance and collections
Be comfortable with both inbound and outbound calling - professional communication skills
Have Intermediate Microsoft Office experience (Word, Excel, & Outlook)
Ability and knowledge to stay current with changing insurance guidelines

Medical Collections Resume Examples & Samples

Reviews system-generated accounts receivable reports and payer explanation of payments to identify delinquent client accounts
Investigates delinquent accounts/denials to determine accuracy of AR, and determines a collectible balance
Contacts payers on collectible accounts for status of accounts
Collects outstanding receivables in a timely manner to reduce bad debt and keep AR under 120
Aggressively works to collect AR that exceeds 120, in keeping with the Company goal for A/R
Documents conversations with payers inclusive of who was contacted, the name of the representative, expected outcome, next steps and date of next follow-up, if any
Acts as the patient liaison, calling patients to clarify insurance coverage when it is determined that an update is needed
All other duties as assigned by management
Previous healthcare reimbursement experience preferred
Basic knowledge in the home health care field preferred
Good organizational and time management skills
Proven success paying careful attention to detail and completing work accurately
Effective communications skills for interacting with clients, payers, and co-workers
Proficiency in typing, data entry, and telephone etiquette
Initiative to plan for and complete daily activities with minimal direction from the supervisor

Medical Collections Specialist Resume Examples & Samples

Basic Microsoft Office skills, especially Excel and Word (Adecco testing will be required)
Previous reimbursement/intake/admissions experience highly preferred
Solid work history

Days Medical Collections Specialist Resume Examples & Samples

Strong attendance pattern is expected
Candidates should have the ability to make decisions by using the infrastructure of defined processes
Candidates should be able to retain large amounts of information while having the ability to adapt quickly to changes in processes, goals and / or policies
Candidates should be open to continuous feedback aimed at enhancing productivity and quality
Candidates must thrive in a highly measured and structured environment with individual goals for supporting overall production

Medical Collections Manager Resume Examples & Samples

Accumulates and postulates theories about collection activities and crafts pilot studies to ascertain the feasibility of those studies
Conveys a message of urgency to patients or guarantors about paying balance owed
Creates methods of getting delinquent payers to pay using telephone calls, email, correspondence and other technology
Sets tone and priority of department related to delinquent accounts
Coordinates activities related to collections of delinquent accounts with other departments to ensure activities are efficient and consistent with the rest of the organization
Communicates collections of delinquent accounts problems and issues to department head and makes recommendations regarding changes to collections of delinquent accounts approaches, policies and procedures. Advises staff within and outside the department of changes
Audits accounts processed by collections department to ensure that accounts are addressed and processed in a timely and correct manner. Provides back-up support as needed
Reviews hardship applications received from patients to determine if a discount should be granted
Reviews bankruptcy notices and applies them to the correct accounts
Prepares monthly productivity and AGE reports for Collections Department
Maintains office, department and operational procedures and standards consistently
Maintains individual productivity and performance standards
Serves as a member of the Collection Department Team. Performs duties necessary to ensure the team’s projects/goals are completed
Two-to-four years related experience and/or training required; Bachelor's degree (B.A.) from a four-year college or university; or equivalent combination of education and experience

Medical Collections Team Lead-medicare Resume Examples & Samples

Assists with Managerial tasks within the respective department
Review and audits Associates’ productivity. Identifies Associates’ areas of additional training
Assist with Associates’ difficult accounts and workload and continually provides training to the Associates; monitors Associates’ hours worked and provides backup support in Manager’s absence
Make necessary telephone or written contact; Contact payers to check claim status and reimbursement; contact parents to obtain accurate insurance information; phone appeals on denied claims; contact payer regarding carrier issues; provide Call Center backup as needed and Send appropriate letters
Consistent follow-up on outstanding accounts by running and working collection reports and correspondence
Not Worked Report – Summarizes outstanding accounts not worked within the department’s guidelines; 1499 Report – Identifies registered Commercial accounts that have been paid as Managed Care; Denial Report – Identifies specific denials posted from EOB’s received; Residual Report – Identifies balances remaining after payer has made a payment; Queue Summary Report – Identifies the accounts that are scheduled to be worked for a given day; Clearinghouse Reports – Identifies specific denials for claims submitted electronically; Review, distribute and/or work all daily correspondence received from patients and payers
Perform audits on accounts when needed
Review accounts for accuracy (ie; payments have been posted correctly, appropriate adjustments have been made, etc.)
Process and/or review refunds for overpayments made by payers and patients
Process and/or review adjustments as necessary (ie; contractual, good faith, settlement, etc.) and appeal denied claims via mail or telephone
Request Accounts Receivable Status Reports when a denial trend has been identified; review accounts receivable report detail for denial trends; obtain Medical Records from Hospital Associates and send them to the payer; review diagnosis and procedure codes with the Coding Department and submit and/or monitor problem packs or appeals to payers
Update accounts in GPMS with information obtained through correspondence and telephone (ie; insurance, authorization, address, baby’s name, etc.)
Review denial reports (GPMS Denial, electronic claims, Not Worked) for payer trends
Meet or exceed required departmental productivity standards on a consistent basis
Performs a variety of other collection duties
Always meets deadline dates and times on assigned projects
Work overtime in mandatory situations
Maintain strict confidentiality in accordance with HIPAA regulations and Company policy. Any patient private health information (PHI) must not be divulged on any account except to payers that need the information in order to process the claim for payment
Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties
Performs other job-related duties within the job scope as requested by Management of Patient Accounts
Represents the corporation in a positive fashion and makes all individuals feel as comfortable as possible
Complies with departmental and company-wide policies and procedures
Knowledge of current third party billing and collection regulatory guidelines and requirements
Good interpersonal skills and a basic understanding of team management concepts
Ability to work independently in a fast paced environment
Understanding of medical terminology, protocols anatomy required

Medical Collections Admin Resume Examples & Samples

Maintains a working knowledge and understanding of CPT and ICD-10 codes. Keeps current with health care practices and laws and regulations related to claims collections through participation in professional development activities
Prepares routine management reports, quality reports, and special reports as directed by supervisor. Communicates collection problems to supervisor and makes recommendations for changes
Ability to define problems, collect data, establish facts, and draw valid conclusions

Medical Collections Specialist Resume Examples & Samples

Work on Predictive Dialer and manual to maximize volume of calls
Identify and resolve patient billing issues
Negotiate on outstanding balances
Verify eligibility, payments and claim status with (Medicaid, Medi-cal, Medicare and Commercial Insurances)
Perform various collection actions including contacting patients, insurance companies, correcting, resubmitting and appealing claims
Perform extensive research on accounts, flight records and internet, also thorough Skip tracing using LexisNexis
Knowledge: Working knowledge in Medical billing, codes and medical terminology and HIPAA. Capable of meeting production goals. High school diploma or equivalent
Experience: Minimum 3 year experience in collections, medical billing, customer service or equivalent with a proven track record of meeting production goals on a regular basis with experience in providing training and feedback to less experienced collectors. Experience with standard office software products a must

Medical Collections Specialist Resume Examples & Samples

Responsible for all third party billing and follow-up associated with the dispensing of prescription medication; maintain supporting chronological notes that detail action taken to resolve outstanding account balances. Maintains patient demographic information and data collection systems. Work all billing/collection reports, queues, or diversions according to payer and company policy guidelines
Researches and responds by telephone, via the Internet, and in writing to insurance companies and governmental payers regarding billing issues and insurance problems. Follows up on submitted claims; monitors unpaid claims, initiates appeals and resubmits claims as necessary
Transmit or submit claims (paper, electronic) to insurance payors for reimbursement
Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors
Provide detailed follow up with patients and payors in the form of, but not limited to phone calls, fax transmittals, and emails
Contact patients and physician’s offices as needed in order to expedite claims processing
Obtain accurate demographic, insurance, and financial information from patients to ensure all account information is accurate

Medical Collections Specialist Resume Examples & Samples

Supports and adheres to personnel policies and programs which specify privileges and responsibilities of employment, including compliance with an adverse incident reporting system, quality improvement program, patient safety initiatives, and risk management program
Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety literature/policies
Organization– Proactively prioritizes needs and effectively manages resources and time
Communication – Communicates clearly, concisely and professionally
Customer Orientation – Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Decision Making– Identifies and understands issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or develops appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences
Contributing to Team Success–Actively participates as a member of the Center’s team to move the team toward the completion of goals
Minimum 2 year of experience in a medical office setting (i.e. ambulatory surgery center, hospital, doctors office) required
Knowledge of insurance verification and appeals

Medical Collections Specialist Resume Examples & Samples

Work patient accounts
Identifies and resolves patient billing issues
Evaluates patient’s financial status and establishes payment plans. Follows up on payment of delinquent accounts and updates status
Reviews daily credit card transactions and contacts patient for declined transactions
Negotiate and offer discounts on outstanding accounts that meet criteria
Routinely verifies (Medicaid,Medi-cal,Commercial Insurance,) for eligibility and payments and processing status
Enters appropriate information documentation and thorough account notes
Maintains Strictest confidentiality; adheres to all HIPPA guidelines/regulations
Follows all FDCPA guidelines and regulations
Uses outside Skip tracing vendors to find current patient phones #’s addresses and credit scores
Performs various collection actions including contacting patients, insurance companies, correcting and resubmitting claims to third party payers
Maintains the utmost composure and customer service when interacting with patients, insurance reps, attorneys
Previous billing and collections and/or revenue cycle experience preferred
Demonstrate ability to work proficiently and efficiently in a timely manner
Proficient in Microsoft office, including Excel and Word

Medical Collections Resume Examples & Samples

Basic knowledge of CPT and ICD-codes
Understanding HIPAA/ regulations
Basic knowledge of FDCPA
Ability to work with a team setting and be supportive of the team members
One or more years call center customer service or collection experience

Medical Collections Team Lead Resume Examples & Samples

Assists with tasks, as assigned by the respective department Manager
Reviews / audits Associates’ productivity. Identifies Associates’ areas requiring additional training
Assists with Associates’ difficult accounts and workload and continually provide training to the Associates
Works closely with the Manager on a daily basis to ensure a smooth operation within the department
Makes necessary telephone &/or written contact; Contact payers to check claim status and reimbursement; contact patients / insurance companies to obtain accurate insurance information; phone appeals on denied claims; contact payer regarding carrier issues; send appropriate correspondence
Consistently follows-up on outstanding accounts by running and working collection reports and correspondence
Performs audits on accounts
Reviews accounts for accuracy (i.e.; payments have been posted correctly, appropriate adjustments have been made, etc.)
Processes and/or reviews refunds for overpayments made by payers and patients
Processes and/or reviews adjustments as necessary (ie; contractual, good faith, settlement, etc.) and appeal denied claims via mail or telephone
Requests Accounts Receivable Status Reports when a denial trend has been identified; review accounts receivable report detail for denial trends; obtain Medical Records from Hospital Associates and send them to the payer; review diagnosis and procedure codes with the Coding Department and submit and/or monitor problem packs or appeals to payers
Completes appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes are current and timely
Identifies carrier related denial trends
Reviews denial report for payer trends
Elevates problems to department Manager
Meets or exceeds required departmental productivity standards on a consistent basis
Assists on various special projects as determined by the Manager
Maintains strict confidentiality in accordance with HIPAA regulations and Company policy. Any patient private health information (PHI) must not be divulged on any account except to payers that need the information in order to process the claim for payment
Performs other job-related duties within the job scope as requested by Management
Conducts all business in a professional manner maintaining respect for individuals at all times
Complies with departmental and company-wide policies and procedures on a consistent basis
Maintains constant awareness of potential safety hazards insuring necessary safety precautions
Reads and complies with established policies and procedures
Consistently adheres to MEDNAX Services, Inc., Department and HR policies and procedures
Associate’s degree (A.A.) or equivalent from two-year College or technical school; or one to two years related experience and/or training; or equivalent of education and experience
Knowledge of medical insurance terminology, insurance billing guidelines and concepts
Understanding of protocols anatomy preferred but not required

Medical Collections Team Lead Resume Examples & Samples

Update accounts in GPMS with information obtained through correspondence and telephone (i.e. insurance, authorization, address, baby’s name, etc.)
Complete appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes are current and timely
Identify carrier related denial trends
Elevate problems to department Manager
Average of quality and quantity productivity standards must meet or exceed 95%
Perform a variety of other collection duties
Assist on various special projects as determined by the Manager
Consistently meet deadline dates and times on assigned projects
Present a positive, professional appearance and convey a professional demeanor in the performance of assigned duties
Perform other job-related duties, within the job scope as requested by Management of Patient Accounts
Embody the principles of the corporate Mission Statement and Philosophy at all times
Represent the corporation in a positive fashion and make all individuals feel as comfortable as possible
Conduct all business in a professional manner, maintaining respect for individuals at all times
Maintain constant awareness of potential safety hazards insuring necessary safety precautions
Read and comply with established policies and procedures
Adhere to MEDNAX Services, Inc., Departmental and HR policies and procedures

Medical Collections Specialist Resume Examples & Samples

Knowledge of billing and payment policies of various third-party payers as they relate to ambulatory surgeries; knowledge of insurance policy requirements, particularly managed care contract parameters as they related to reimbursement
Knowledge of medical terminology, CPT and ICD9 coding relating to ambulatory surgeries
Ability to challenge claims rejections, incorrect payments and knowledge of appeal procedures and third party reimbursement
Computer skills; knowledge of medical billing software systems
Good interpersonal skills, including verbal and written communication skills and pleasant telephone voice and personality
Minimum 2 years related experience in collection and medical reimbursement
Analytical skills to research and resolve reimbursement discrepancies based on our contracts

Medical Collections Specialist Resume Examples & Samples

Medical billing overview
EOB's, denials and rejected claims
Appeals and follow up with Private Carriers, Medicare and Medicaid
Comprehension of Insurance plans
Documentation of all open and pending claims being worked
Collections on unpaid or partially paid insurance claims
Medical collections: 3 years

Medical Collections Specialist Resume Examples & Samples

Follow up associated with the dispensing of prescription medications via telephone, internet and in writing
Maintain supporting chronological notes that detail action taken to resolve outstanding balances
Maintain accounts receivable systems including all billing/collection reports or queues
Contact patients and physicians offices as needed in order to expedite claims processing

Medical Collections Specialist Resume Examples & Samples

Analyze and determine reasons for either actual or potential delinquency and assist patients in developing a plan to pay accounts current
Provide counseling and budgeting suggestions in assisting patients with repayment of obligations
Post all patient payments and agency payments to appropriate accounts
Prepare accounts to be sent to agency/collection attorney or in-house collections
Assist any walk-in patients with their questions, concerns or payments

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