Medical Collector Job Description
Medical collector
provides financial guidance to business partners related to proposed transactions to ensure conformity with Generally Accepted Accounting Principles (GAAP), as well as company policies and procedures.
Medical Collector Duties & Responsibilities
To write an effective medical collector job description, begin by listing detailed duties, responsibilities and expectations. We have included medical collector job description templates that you can modify and use.
Sample responsibilities for this position include:
Administers Center contracts with third party payers including Medicare and Medicaid, in accordance with facility practices, as determined through facility processes
Submit written appeals to Medicare to overcome denials
Adhere to all practice policies related to OSHA, HIPAA and Medicare Compliance
Follow-up with payers to facilitate uninterrupted cash flow
Document activities in Byram's ERP system in an efficient and timely manner
Prepare and review clean claims for submission
Answer questions from customers, clerical staff, and insurance companies enthusiastically and professionally
Provide feedback to Group Team Lead regarding account issues
Conduct routine tasks as directed
Contribute to the specific objectives and outcomes as directed
Medical Collector Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Medical Collector
List any licenses or certifications required by the position: DOT, CFR, MA
Education for Medical Collector
Typically a job would require a certain level of education.
Employers hiring for the medical collector job most commonly would prefer for their future employee to have a relevant degree such as Associate and Collage Degree in Associates, Technical, Medical, Aging, Education, Accounting, Finance, Business/Administration, General Education, Medical Billing
Skills for Medical Collector
Desired skills for medical collector include:
Generally accepted accounting procedures and principles
Office procedures and operations
HIPAA regulations
Medical Terminology
ASC Allowable procedures
HIPAA regulations and the FDCPA
HCPCS
Medicaid
Medicare
Desired experience for medical collector includes:
Help manage the A/R by performing all aspects of the account follow up on self-pay accounts or accounts with patient liability to ensure timely collection of assignments to collection agencies
Collect delinquent accounts by establishing payment arrangements with patients that include monitoring payments following up with payments when lapses occur
Out of network insurance follow ups / appeals / collections and/or check ins
Payment posting and billing (charge capture/entry & claims filing)
Patient follow up on coinsurance deductibles
Follow-up with out-of-network insurance
Medical Collector Examples
1
Medical Collector Job Description
Job Description Example
Our innovative and growing company is hiring for a medical collector. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for medical collector
- Follow-up with patient coinsurance deductibles
- Follow-up with appeals, collections, and/or check-ins
- Assist in the processing of insurance claims including working the denials from the clearing house
- Process appeals
- Analyze and research denials
- Out-of-network insurance follow-up, appeals, collections, and/or check ins
- Payment posting and billing
- Analyzing and researching denials
- Processing refunds
- Out of network insurance follow up
Qualifications for medical collector
- Handling appeals and collections
- Coordinate and facilitate all aspects of the medical billing process for a defined set of locations and payers
- Electronically download review assignments to the laptop and data collection tool
- Work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base
- Conduct research in a thoughtful and methodical search in order to locate specific claim information
- Performs follow up activities in a timely manner on all accounts to ensure prompt payment
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Medical Collector Job Description
Job Description Example
Our growing company is looking for a medical collector. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for medical collector
- Assigns Bad Debt accounts to Collection Agency as approved by CBO Director/Designee
- Notifies CBO Director/Designee/Administrator of contractual issues that are contrary or inconsistent with contract language
- Completes weekly reporting to CBO Director and Administrator involving collections, as per the facility practices
- Performs weekly and monthly reviews and turnovers of aged accounts to an outside collection agency for 1st placements and bad debt, as determined through facility processes
- Follows Best Practices regarding initial follow-up/first contact at 21- 28 days for insurance claims and subsequent follow-up every 10-14 days
- Cross trains and performs other duties as assigned based on business operational needs
- Review account receivable reports regularly for any problematic accounts, trends, and ensures timely follow-up
- Collect on client outstanding and past due balances
- Speak with patients and/or follow-up on previous payment arrangements
- Place outbound calls and accept inbound calls from patients
Qualifications for medical collector
- Collect patient payments and initiate, execute and follow-up on payment plans
- Process and mail client invoices
- Audit client accounts for billing accuracy
- Ensure all accounts are thoroughly documented to include recording the commitment to pay the debt, the payment plan details, and all related discussion notes
- Completes write-offs/adjustments for uncollectable AR and routes timely as appropriate for approval
- Two years of collection experience with an emphasis on patient accounts preferred
3
Medical Collector Job Description
Job Description Example
Our innovative and growing company is hiring for a medical collector. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for medical collector
- Identify account risks, potential credit problems, disputes, and other customer issues
- Contact customers regarding invoices / accounts which are past due
- Documentation is critical, log conversations, e-mails and other communications
- Maintain quality relationships with branch managers, account managers and area sales managers
- Prioritize portfolio so that collection efforts result in maximum benefits
- Work closely with cylinder control when investigating cylinder disputes
- Initiate payments
- Maintains an excellent working knowledge of 49 CFR Part 40 DOT drug testing procedures and maintains DOT certification for specimen collections per regulations
- Facilitates the collection of urine specimens from employees
- Follows departmental policies to correctly identify the employee before any specimen is obtained
Qualifications for medical collector
- Minimum (1) year of experience in a medical office setting
- Three years (3) experience in A/R analysis, account auditing, patient collection, and EOB analysis is required
- Working knowledge of report preparation and Excel are a must
- Proficient using Windows and Microsoft Office Products is a must
- Must be detail-oriented, organized and able to work independently
- Experience with electronic billing programs is a plus
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Medical Collector Job Description
Job Description Example
Our company is growing rapidly and is looking for a medical collector. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for medical collector
- Communicates with, understands, and reacts effectively to a diverse employee population base
- Communicates all unresolved problems immediately to the appropriate Manager, Supervisor, or Group Leader
- Follows Universal Precautions and all OSHA standards when handling specimens
- Strictly adheres to HIPAA guidelines
- Order processing and office supplies as needed
- Submits accurate time, travel, expense and collection logs in a timely manner
- Hospital collector
- Review claims issues, make corrections as needed, and rebill
- Manage daily productivity via patient accounting system and productivity reports
- Accurate and timely follow up of resolution for all accounts receivable
Qualifications for medical collector
- Advanced computer proficiency - Microsoft Word/Excel/Outlook
- 3+ years of medical collections required, associate’s degree or higher may substitute for 2 years of experience
- Knowledge in posting and patient payments is a plus
- High school graduate or equivalent a must, some college a plus
- Call center, credit authorizer, or customer service experience a plus
- Minimum one year of experience working in a medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting re-imbursements, or related experience in the healthcare field
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Medical Collector Job Description
Job Description Example
Our company is growing rapidly and is hiring for a medical collector. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for medical collector
- Handles contracted and non-contracted
- Post all payments, by line-item, received for physician’s professional services into the practice management system including co-payments, insurance payments, and patient payments with an emphasis on accuracy to ensure maximum patient satisfaction and profitability
- Post all credit and debit adjustments to patient accounts with strict adherence to the Revenue Cycle Guidelines
- File all charge, payment and adjustment batches in the appropriate format
- Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with Revenue Cycle Guidelines
- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction
- Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates
- Maintain proficiency with all facets of the medical practice management system
- Must have an excellent understanding of all major payers’ billing guidelines, filing deadlines, appeal guidelines & clinical policy guidelines
- Must be exeptionally proficient in Microsoft Excel
Qualifications for medical collector
- Ideally two or more years’ experience working specifically in to medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting re-imbursements from payer organizations
- Two or more years experience working A/R collecting payments from insurance payers, accounts receivable in a healthcare setting which could include hospital, health system, clinic, physician office, or third party
- Minimum 3 years of prior medical billing/collections experience
- Must demonstrate above average customer service, negotiating and reasoning skills
- Experience navigating insurance company web portals
- Team player with ability to communicate at all levels in the organization and with different types of customers