Medical Claims-Collector-Level 2

·         Perform secretarial duties utilizing specific knowledge of medical terminology and physician, hospital, clinic, or laboratory billing.

·         Duties include verifying patient eligibility, billing patients, and billing insurance claims.

·         Answers patient's questions regarding statements and insurance coverage, clerical staff and insurance companies.

·         Contacts insurance company to verify medical insurance coverage for patient and to obtain information concerning extent of benefits during the collection process.

·         Responsible for insurance and patient accounts receivable resolution.

·         Aids in pre-collection activities for delinquent patient accounts.

·         Responsible for researching problems and for recognizing inaccuracies that also need resolution. 

·        Resolves disputed claims by gathering, verifying, and providing additional information; following-up on claims.

·         Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.

·         Bills carriers by inputting billing information to database; initiating electronic transmissions.

·         Resolves discrepancies by examining and evaluating data; selecting corrective steps.  You must be able to contact the insurance companies to check status of claims and push them to finalize claim processing ("don't take no for an answer").

·         Updates job knowledge by participating in educational opportunities; reading professional publications; keeping current on billing and reimbursement procedures.

·         Serves and protects the medical community by adhering to professional standards, medical policies and procedures, federal, state, and local requirements.

·         Accomplishes billing department mission by completing related results as needed.

·          Must have High School diploma.  College degree preferred.

·          Must have a minimum of 4 years medical billing experience.

• Candidate must be able to multi-task and posses excellent communication and computer skills.
• Knowledge of medical billing/collection practices.
• Knowledge of computer programs. What kind?
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a computer and basic office equipment.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, employees and the public.