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Date Added: Sat 17/07/2021

Medical Collector

Chandler, AZ, US
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Company: KFORCE FINANCE AND ACCOUNTING

Job Type: Permanent, FullTime

RESPONSIBILITIES:

Kforce has a client that is seeking a Medical Collector in Chandler, AZ. Key Tasks:
  • Under general supervision, the Medical Collector will identify and resolve routine outstanding claims
  • Generate and analyze diverse reports and work lists in the identification and resolution of general patient account issues
  • Assist in the resolution of outstanding payments from past due accounts
  • As a Medical Collector, you will ensure timely receipt of claim payments; Processing payments accordingly and reconciling all necessary data
  • Perform all responsibilities in compliance with company policies and procedures; Ensuring timely and complete documentation of activities performed
  • May serve as a point of contact for customers and/or external vendors in response to inquiries and unresolved issues
  • May mentor other staff as applicable
  • Medical Collector will also assist with various projects as assigned by direct supervisor
Other duties as assigned:
  • Check eligibility and benefit verification
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Medical Collectors prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary; Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up
  • Research and appeal denied claims
  • Medical Collectors answer all patient or insurance telephone inquiries pertaining to assigned accounts
  • Set up patient payment plans and work collection accounts; Update billing software with rate changes
  • Updates cash spreadsheet, runs collection reports


Job Requirements:

REQUIREMENTS:

  • High School diploma/GED
  • Preferred - knowledge of business and accounting processes usually obtained from an Associate's degree, with a degree in Business Administration, Accounting
  • 2 to 4 years of experience with HMO/PPO, Medicare, Medicaid systems
  • EMR/EHR Billing Software/10 key calculator
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
  • Able to work in a team environment
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
  • Knowledge of accounting and bookkeeping procedures
  • Knowledge of medical terminology likely to be encountered in medical claims
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
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