Insurance Collector

The primary responsibility of the Insurance Collector is to ensure that all third party professional claims and institutional claims are processed and paid; maintaining gross days in receivables at or below departmental goals, within the Hospital-Based, Central Billing Office setting. The Insurance Collector will perform all billing and follow-up activity on patient's accounts from origination to either payment in full or transfer to self-pay status.

Daily activity includes but is not limited to filing, aging, follow-up on unpaid claims, identifying credit balances, documenting needed information and handling all insurance / patient contact in a professional manner. Whenever assigned, payment posting duties will be completed accurately and within departmental guidelines; working under the direct supervision of the CBO Team Lead. The Insurance Collector must maintain open communications and is available to component organizations and practitioner sites for consultation.

• Associates of Business - Preferred

• 3-5 Years Relevant Experience in Medical Accounts Receivable.
  
  - Preferred

• None Required

• Resolves payer denials promptly and appropriately. Updates account Insurance demographic information accordingly. Rebills accounts when necessary and documents all action taken.
• Acts upon computer reminders promptly and appropriately. Uses the most effective follow up method needed. Documents all action taken.
• Files claims as assigned. Follows up on secondary aged accounts according to established time parameters. Resolves reminders promptly.
• Reviews and responds appropriately to correspondence according to established time parameters. Documents all action taken. Ensures correspondence is scanned to the account.
• Resolves payer denials promptly and appropriately. Mails paper claims promptly to the proper address. Re-bills accounts when necessary.