Medical Insurance Claims Collector

Job Details

Legal Address BMS - TAMPA, FL Full Time Not Specified $20.00 - $25.00 None Day Insurance

Description

Job Description:

The Insurance Collector works in Healthcare Facilities, liaising between insurance companies and medical patients. They collect and manage insurance payments, file claims, and follow through with procedures until payment is received. Their responsibilities include appealing denied claims, fixing billing errors, and maintaining records of insurance documents and filed claims.

Role Purpose

The purpose of the Insurance Collector is to collect overdue payments on insurance policies. This involves researching and contacting individuals, companies, and other organizations to collect payments and respond to customer inquiries. The Insurance Collector must have excellent customer service and communication skills and a working knowledge of insurance policies and procedures.

Job Requirements/Qualifications

• At least 1 year Insurance Collection experience required
• At least 1 year Claim denial management experience
• Organized, self-sufficient, analytical, and detail orientated
• Knowledge of Insurance policies and procedures
• Knowledge of Electronic Medical Records, Collections, Payment Posting, Reimbursement, and Billing experience.
• Knowledge of HIPPA, ICD-10 codes, and CPT codes is required
• Knowledge of EOB’s required Essential Job functions and responsibilities
• Receives, investigates, and responds to inquiries from payors
• Researches any error and makes necessary corrections for clean claim production and submission
• Follow up with the biller to make sure all claims are submitted in a timely manner
• Actively follow-up and collect on all assigned payers, and facilities
• Follow up on payment errors, review posting, and calculate allowable amount before approving patient statements
• Review Insurance EOB and initiate appeals as necessary
• Resolves all insurance requests, inquiries, concerns, in an expedient and respectiul manner
• Ability to comply with regulations
  
  

AR Responsibilities

• Investigating inquiries: Receiving, investigating, and responding to inquiries from payors
• Researching errors: Make corrections to ensure clean claims are produced and submitted.
• Following up on claims: Following up with billers to ensure claims are submitted on time and following up on payment errors.
• Collecting on payers: Following up and collecting on assigned payers and facilities
• Reviewing insurance EOB: Reviewing insurance EOB and initiating appeals when necessary
• Resolving requests: Resolving all insurance requests, inquiries, and concerns respectfully and expediently.
  
  

Qualifications

Personal Traits:

• Strong communication and customer service skills
• Excellent organizational and problem-solving skills
• Proficiency in computer software
• Strong interpersonal skills
• Ability to work independently
• Good organizational skills
• Ability to work under pressure