COLLECTOR II

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 requires extensive knowledge of the Revenue Cycle internal collections process.

A clear ability to effectively work with team members, identify and correct any training needs and ensure production metrics are met daily, weekly and monthly must be demonstrated.

• Minimum Education:
  
  High School Diploma/G.E.D.
• Minimum 3+ Years of experience with insurance collections and follow-up.
• Knowledge of both In-Network and Out-of-Network Facility and Physician Claims.
• Knowledge of HIPAA, healthcare regulations, and compliance.
• Positive attitude, Team player, and ability to work independently.
• Must have understanding of Revenue Cycle, Claims Processing, and Denial Resolution.
• Prior experience working with commercial payers such as UHC, Cigna, Aetna, BCBS, Marketplace plans, and Humana.
• Experience in preparing and submitting claims, facility, physician, and specialist.
• Experience in reading, analyzing, and interpreting EOBs from various insurance providers.
• Familiarity with identifying claims in need of appeal and the appeals process.
• Ability to clearly communicate claim follow‑up and appeal status with insurance company representatives.
• Demonstrates excellent problem‑solving skills and negotiating skills.
• Proven experience in a production‑based environment with a concentration on meeting production standards.
• Knowledge of EPower and Centricity is desired.
• Familiarity with computers and Windows PC applications such as Excel and Word, including the ability to learn new computer systems applications.
• Type 45-60 WPM.
• Prior leadership training or experience preferred.

• Work assigned claim volume timely and efficiently within corporate time frames.
• Follow all processes and procedures as set by the Training Coordinator and/or department leadership.
• Understand and stay informed of changes to procedures, billing guidelines, and laws for specific insurance carriers or payers.
• Initiate collection follow‑up on all unpaid or denied claims with the 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 the assigned team.
• Meet weekly with all team members via huddles or one‑on‑one training as approved by leadership.
• Work to identify, correct, and sustain any issues with production, workflow 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 the Training Coordinator and Leadership as necessary.
• Meet performance goals established for the position in efficiency, accuracy, quality, member satisfaction, and attendance.
• Perform other duties as assigned by the department manager.

• Frequent speaking, listening using a headset, hands/fingers across keyboard or mouse, handling other objects, and long periods working at a computer.
• Service center with moderate noise level due to representatives talking, computers, printers, and floor activity.
• Must stand, walk, and sit frequently while performing duties.
• Must submit to random drug screenings.

• Health benefits start on the first of the month after hire.
• Medical, dental, and vision plans with sliding‑scale premiums.
• 100% coverage for preventive health services.
• HSA and FSA options available.
• Company‑paid life insurance and long‑term disability.
• 401(k) with contributions starting after 30 days.
• 100% match on the first 4%.
• Full vesting after 3 years.
• Access to exclusive employee discounts on travel, fitness, shopping, and more.
• Paid Time Off.

Join us and make a significant impact on our company’s success in reaching our target audience and driving business growth.

• Seniority level: Mid‑Senior level
• Employment type: Full‑time
• Job function: Accounting/Auditing and Finance
• Industries: Health, Wellness & Fitness