COLLECTOR II

Description

The Medical Billing Collector II is responsible for the oversight of the medical collectors assigned to their team.  The Collector II position will include weekly huddles with their team members either in a group or individual setting to review and verify performance and training needs.  The Medical Billing Collector II position will require extensive knowledge of the Revenue Cycle internal collections processes.  A clear ability to effectively work with team members, identify and aid to correct any training needs and ensure production metrics are met daily, weekly and monthly must be demonstrated.

Qualifications

• Minimum Education: High School Diploma/G.E.D.
• Minimum 3-5 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 the 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 Third party a plus.
• Proven experience administering appeals in a high-volume claim’s environment.
• Ability to have a productive phone conversation with the 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.
•  Prior leadership training or experience preferred.

Job Responsibilities / Duties:

• Work assigned 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 claims, including resolution of any billing errors assigned following established procedures.
• Respond to correspondence from insurance carriers.
• Provide oversight and direction within assigned team. 
• Meet weekly with all team members via huddles or one-on-one trainings as approved by leadership.
• Work to identify, correct and sustain any issues with production, work flow and training.
• Handle escalation of issues from team members via phone, email or in writing.
• Provide weekly updates via written reports to leadership.
• Work with Training Coordinator and Leadership as necessary.
• 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.

  Working Conditions:

•  Frequent speaking, listening using a headset, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer.
• Service center 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 : $22