Medical Collector

HealthCare Support Staffing, Inc. is seeking an experienced Medical Collector in Orlando, FL. The ideal candidate will have at least 2 years of experience in accounts receivable and collections, with a strong understanding of Medicare and Medicaid guidelines, insurance billing, and appeals processes.

Requirements

• Maintains knowledge of Medicare and Medicaid guidelines and applies that knowledge to billing as required by individual contracts
• Understands Medicaid, Medicare and Insurance billing, including coordination of benefits and appeals process for redeterminations
• Multi-tasks in various computer applications to gather billing and collection information to perform collections
• Performs systematic collections as directed by management
• Verifies outstanding account balances
• Performs follow up as necessary and re-bills according to collection policy
• Enters call back notes into appropriate databases for future collection efforts and inter-departmental communications
• Prepare price adjustments and refunds as appropriate
• Adheres to KPIs as defined for this role in Accounts Receivable
• Manages work queue in a timely and efficient manner resulting in resolved AR avoiding timely filing write offs
• Raises awareness on denial trends to management, with supporting data
• Raises awareness on pricing trends to management (short pays), with supporting data
• Reconciles open accounts to clearly establish patient responsibility
• Works minimum 40-hour work week with required overtime as business needs dictate

Benefits

• Flex schedules