COLLECTOR I

Description

The Medical Billing Collector  is responsible for the collections, follow up and appeals of insurance claims. Essential to this position is the ability to manage all insurance follow up for maximum insurance reimbursement.  To include outbound and inbound insurance carrier calls, reprocessing claims, drafting appeals, working denials and resolving unpaid claims.

Qualifications

• Minimum Education: High School Diploma/G.E.D.
• Minimum 3 Years of experience with insurance follow up and insurance collections.
• Knowledge of both In Network and Out of Network Facility and Physician Claims.
• Strong communications skills in both oral and written. 
• Positive attitude, Team player and ability to work independently.
• Experience in reading, analyzing and interpreting medical Explanation of Benefits is a must.  
• Prior experience working with commercial payers such as UHC, Cigna, Aetna, BCBS, Marketplace plans and WC/third party a plus.
• Proven experience administering appeals in a high-volume claim’s environment.
• Proven experience in a production-based environment with concentration on meeting production standards.
• Ability to have clearly communicate claim follow and appeals with insurances company representatives.
• Demonstrates excellent problem-solving skills and negotiating skills. 
• Knowledge of EPower and Centricity desired. 
• Familiarity with computer and Windows PC applications such as Excel and Word, which includes the ability to learn new computer systems applications.
•  Type 45-60 WPM.

Job Responsibilities/Duties

• Work assigns claim volume timely and efficiently with corporate timeframes.
• Follow all process and procedures as set by the Training Coordinator and/or department leadership.
• Understanding and staying informed of the changes with procedures, billing guidelines, and laws for specific insurance carries or payers.
• Initiating collection follow-up on all unpaid or denied claims with appropriate insurance carrier.
• Research, appeal, and resolve unpaid insurance claims.
• Actively follow up and collect on all electronic claims, including resolution of any billing errors assigned following established procedures.
• Respond to correspondence from insurance carriers.
• Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendance.
•  Perform other duties as assigned by department manager.  

Work Condition :

• Frequent speaking, listening using a headset, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer.
• Office setting with moderate noise level due to representatives talking, computers, printers, and floor activity

• While performing duties of this job, the employee is frequently required to stand, walk and sit. 
• Must submit to random drug screenings.

Salary : $19