Medical Biller/Collector

Job 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.
• NSA/IDR experience is a plus
• Proven experience administering appeals in a high-volume claim’s environment.
• Ability to have clearly communicate claim follow and appeals with insurances company representatives.
• Demonstrates excellent problem-solving skills and negotiating skills.
• Familiarity with computer and Windows PC applications such as Excel and Word, which includes the ability to learn new computer systems applications.

Job Responsibilities / Duties:

• Work assign claim volume timely and efficiently with corporate timeframes.
• 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.

Job Type: Full-time

Benefits:

• 401(k)
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Medical office
• Private practice

Work Location: In person