Medical Collector Resume Samples

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Guide the recruiter to the conclusion that you are the best candidate for the medical collector job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

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M Kihn

Marietta

Kihn

8203 Jeanne Alley

Boston

+1 (555) 703 3365

8203 Jeanne Alley

Boston

Phone

p +1 (555) 703 3365

Experience Experience

Boston, MA

Medical Collector

Boston, MA

Hessel-Hessel

Boston, MA

Medical Collector

Collect on government Medicare, Medicaid, Worker’s Compensation, and commercial insurance and patient outstanding balances
Keep current with all commercial and managed care pricing models, rules and regulations
Ensure all collection activity information is entered accurately into system; bring recurring issues to Supervisor’s attention
Print and mail Uniform Bill 04 or Health Care Financing Administration 1500s as necessary for account resolution
Knowledge of computer billing systems
Responsible for all aspects of account follow up and collections, including processing appeals
Reviews explanation of benefits (EOBs) to ensure proper reimbursement of claims and reports any problems, issues, or payer trends

San Francisco, CA

Hospital Medical Collector

San Francisco, CA

Sporer, Goyette and Greenfelder

San Francisco, CA

Hospital Medical Collector

1+ year’s knowledge of working within the Hospital revenue cycle and collecting on inpatient facility charges
The Medical Collector is responsible for collecting both inpatient and outpatient claims on behalf of hospitals
Knowledge of early-out collections a plus
Resolve discrepancies and prepare adjustments or refunds as necessary
Works with payers to determine reasons for denials
Performs other related duties as directed by supervisor
Work daily claim rejection lists in billing software and clearinghouse queues; correct and set claims to rebill

present

New York, NY

Senior Medical Collector

New York, NY

Block-Emard

present

New York, NY

Senior Medical Collector

present

Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts to Manager
Collaborates with management to reduce aging of accounts by providing verbal and written communication
Act cooperatively and responsibly with patients, visitors, co-workers, management and clients
Ensures concerns with internal control design or performance and process changes that impact internal control execution are communicated to management
Assisting patients in resolving questions regarding their accounts
Contribute to team environment by performing other duties as assigned
Review claims denied for payment and underpaid claims; verify payment adjustments with Supervisor

Education Education

Associate’s Degree

University of Tennessee

Associate’s Degree

Skills Skills

Ability to act in a professional manner and diffuse any negative situations
Knowledge of commercial, Medicare, Medicaid, HMO/PPO, Tricare insurance operating procedures and contracts, and basic medical terminology
Able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly, and transcribe accurately
Strong attention to detail
Experience working an Accounts Receivable Aging and Writing Appeals
Great interpersonal skills
Highly organized
Able to multitask efficiently and effectively
Ability to work under time constraints and pressure
Strong organizational skills

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7 Medical Collector resume templates

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Medical Collector Resume Examples & Samples

Knowledge of CPT and ICD9 coding requirements
Previous experience in a medical industry
Understanding of EOBs and refunds
Ability to multitask and take initiative
Ability to act in a professional manner and diffuse any negative situations
Payment posting experience
Knowledge of NextGen

Msrdp Medical Collector Resume Examples & Samples

Performs payment validation by utilizing internal and/or external resources to ensure proper reimbursement
Reviews, research and appeal partially denied claims for reconsideration
Responsible for contacting patients to gain additional information required to resolve an outstanding insurance balance
Functions as resource person for departmental personnel to answer questions and assists with problem resolution

Medical Collector Resume Examples & Samples

Handling a high volume of patient/insurance calls
Assisting patients in resolving questions regarding their accounts
Handle patient disputes
Responsible for reporting violations of the company's policies and procedures, Standards of Business Conduct, governance program, laws and regulations through the company's Help Line or other mechanism that may be available at the time of the violation. Assists with internal control failure remediation efforts
Ensures concerns with internal control design or performance and process changes that impact internal control execution are communicated to management
One year experience in healthcare customer service or insurance collections field
Knowledge of and experience working in hospital medical billing environment
Ability to work well individually and in a team environment
Able to work in a professional, corporate setting
Ability to identify trends and issues as related to specific clients
Knowledge of Excel and MS Office
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; sit;perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel;talk and hear. The employee must occasionally lift and/or move up to 15 pounds
Mental Demands:The employee must be able to follow directions, to get along with others, and handle stress

Medical Collector Resume Examples & Samples

Follow up on all claims from billing through final resolution
Review and prepare claims for manual and/or electronic billing submission
Identify billing errors for correction and resubmit claims to insurance carriers
Follow up on payment errors, low reimbursement, denials, etc
Review Insurance Explanation Of Benefits and initiate appeals as necessary
Print and mail Uniform Bill 04 or Health Care Financing Administration 1500s as necessary for account resolution
Keep current with all commercial and managed care pricing models, rules and regulations
Minimum of 2 years’ experience in customer service, billing, direct collections or collections (i.e. insurance, healthcare, auto, mortgage etc.)
Knowledge of computer billing systems
Proficiency with MS Office

Accounts Receivable Medical Collector Resume Examples & Samples

Ability to develop and maintain positive working relationships
Experience working with a document imaging syste
Experience working with RealMed, Zirmed and JD Edwards preferred
Experience working with high-dollar DME preferred

Bad Debt Medical Collector Resume Examples & Samples

Follow all required FDCPA regulations and system procedures
Maintain acceptable call quality as determined by the Management staff
Assist the Unit Manager or Team Lead in working priority reports promptly, effectively, and efficiently
Close out an appropriate number of accounts each month as determined by Management
Work with insurance companies and completing any necessary correspondence to facilitate account resolution

Medical Collector Resume Examples & Samples

Responsible for all aspects of account follow up and collections, including processing appeals
Reviews explanation of benefits (EOBs) to ensure proper reimbursement of claims and reports any problems, issues, or payer trends
Collaborates with management to reduce aging of accounts by providing verbal and written communication
Work daily claim rejection lists in billing software and clearinghouse queues; correct and set claims to rebill
Works with payers to determine reasons for denials
Corrects and reprocesses claims for reimbursement in a timely manner
Accurately and thoroughly documents the pertinent collection activities in appropriate system
Answers questions from patients, clerical staff and insurance companies
Prepares, reviews and sends patient statements
Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts to Manager
Identifies and resolves patient collection complaints
Ability to learn new computer applications quickly and independently and become a skilled user of the company’s or JV partner’s proprietary database
Participates and attends monthly staff meetings
Maintains PHI and HIPPA patient confidentiality standards for medical and financial information
Contribute to team environment by performing other duties as assigned
3+ years hospital and/or physician billing and collections experience required
Advanced computer skills including Microsoft Office; Word and Excel
Proficiency with numbers
High school or GED required
Data entry experience
Experience with 835 ERA files
Ability to analyze accounts and determine next appropriate action(s) for account resolution
Ability to identify, resolve and escalate trends to ensure timely payment
Ability to devise and execute formal appeals on denied and/or underpaid claims
Ability to monitor trends in carrier issues regarding reimbursement
Ability to learn new computer applications quickly and independently and become a skilled user of
Ability to prioritize Aged Trial Balance and work different aging buckets (30,60,90,120+)
Ability to work in a collaborative, team environment
Ability to be well organized, detail-oriented, in a fast-paced environment
In depth knowledge of Medicare, Medicaid, Workers Compensation and commercial payer reimbursement policies and procedures
Must be able to interpret an insurance Explanation of Benefits (EOB) and know the meaning of copay, deductible and coinsurance
Skill in answering a telephone in a pleasant and helpful manner
Knowledge of physician (CMS-1500) and facility billing (CMS-1450/UB-04)
Knowledge of online carrier websites/portals and ability to retrieve and print Explanation of Benefits as needed
Knowledge of basic medical coding
Knowledge of filing deadlines for government and commercial payors
Knowledge of carrier specific appeals processes and their required forms
Knowledge of HIPAA and PHI guidelines
Knowledge of in and out of network models
Familiarity with Medicare LCDs commercial payor Clinical Policy Bulletins
Familiarity with NCCI (National Correct Coding Initiative) edits
Must be well organized and detail oriented
Accuracy required

Senior Medical Collector Resume Examples & Samples

A minimum of two years’ work experience
Current AAPC Certification
Excellent command of the English language, oral and written plus superior telephone skills
Proficiency in Microsoft Office applications, Microsoft Word and Excel

Medical Collector Resume Examples & Samples

Research any overdue account balances; follow up with insurance carriers and patients on delinquent payments
Review claims denied for payment and underpaid claims; verify payment adjustments with Supervisor
Coordinate collection activities for delinquent accounts by preparing information for external collection agencies or attorneys
Resolve discrepancies and prepare adjustments or refunds as necessary
Initiate payments; resubmit bills as necessary
Ensure all collection activity information is entered accurately into system; bring recurring issues to Supervisor’s attention
Education or experience equivalent to a high school diploma is required
At least one year related experience is preferred
Strong organizational skills
Computer literate – Word, Excel, Internet
Ability to work under time constraints and pressure

Medical Collector Resume Examples & Samples

Medical Collector is responsible for full cycle medical insurance collections for multispecialty physician and hospital services
Collect on government Medicare, Medicaid, Worker’s Compensation, and commercial insurance and patient outstanding balances
Medical Collector is responsible for following up on insurance claim status, resolving denials & rejections, submitting re-bills, re-submit claims, and file appeals
Medical Collector must establish payment plans, accept payment, and work aging reports
Post insurance and patient payments (cash, check, credit card, Explanation of Benefits, EOB, EFT, lock box)
Manage accounts receivable and accounts payable
Medical Collector is responsible for obtaining insurance verification, precertification, and authorization via phone and insurance payer portals
Medical Collector must update patient accounts with registration, insurance, demographic, scheduling, and billing data
Medical Collector must provide superior high volume patient customer service in a fast paced environment
Use Microsoft Office Suite (Word/Excel/Outlook/Power Point), medical software, payer portals, and type 40+WPM

Hospital Medical Collector Resume Examples & Samples

The Medical Collector is responsible for collecting both inpatient and outpatient claims on behalf of hospitals
Knowledge of early-out collections a plus
Strong knowledge of collecting from commercial insurances, Medicare and Medicaid is preferred – Any errors may result in a delay or loss of reimbursement
The candidate must have a thorough understanding of third party payment requirements to ensure that bills are posted correctly

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