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Medical Collector Resume Samples
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0-5 years of experience
Trained medical collectors on FACX and taught strategies on how to persuade debtors to pay their entire balance or set up payment arrangements on delinquent medical bills.
- Under the direct supervision of the Floor Manager, monitored the collection floor, resolved complaint calls, and served as a positive role model for my peers.
- Achieved my monthly goal of $10,500(net) monthly from date of hire.
- Transmitted workman’s compensation, personal injury, and personal insurance claims for payment.
- Accurately and effectively updated accounts with patient information.
0-5 years of experience
Corresponded with Medicare, Medicaid, [company name], Humana and other major payers regarding reimbursement on wound physician medical claims, while applying strict state jurisdictions. Reduced aged account receivable by 75 percent.
- Analyzed managed care contractual issues, provided feedback to the Credentialing Department.
- Applied provider payments on accounts, applying contractual managed care reimbursement rates.
- Relentlessly submitted written appeals to payers, on denied claims for adjudication and resolution. Successfully overturning numerous insurance’s decisions.
0-5 years of experience
Managed and collected delinquent patient accounts within required time frames
- Maintained patient information and updated it on system
- Worked with debtors to establish payment plans
- Prepared accounts for legal review when unsuccessful in reaching an agreement with debtors
- Worked with attorneys and insurance companies on resolving delinquent accounts that where related to automobile accidents, workers comp, etc.
- Ensured medical collection activity was conducted as per company, federal and state guidelines
- Exceeded daily quota of 250 calls daily
- Exceeded Monthly goal of $40,000 monthly
0-5 years of experience
Trained and monitored employee production on a daily basis to ensure all performance goals are met, accounts are being dealt with, and records are being maintained in an orderly and productive manner.
- Oversaw all collector and biller activities.
- Assisted with reviews and audited complex problematic accounts.
- Maintained follow up with payers in a stratified manner.
- Assisted the section manager and performed all designated duties in the absence of the section manager.
- Interfaced with a variety of outside organizations including Medi-Cal and, California Children’s services for international medicine, pediatrics, ophthalmology, transplant, and ob/gyn divisions.
- Maintained records in an organized manner, corrected and re-billed denied claims when necessary, and performed secondary billing.
0-5 years of experience
Exceed a collection portfolio/quota of $6,500k or more per month.
- Collected on 90 day medical accounts or older.
- Contacted insurance companies to check eligibility and confirm claim status to ensure timely payment.
- Partnered with attorneys to gain status information on claims and bankruptcy details.
- Answered inbound calls from debtors and initiate outbound calls to negotiate and follow-up on payment arrangements.
- Completed a total of 100 calls/contacts or more per day to successfully meet and/or exceed established quotas.
- Executed a variety of documents including letters and emails in draft and final form for distribution to internal team members and external clients.
- Negotiated settlements.
- Tracked delinquencies and create statistical spreadsheets to keep management updated on status of accounts.
- Analyzed customer’s financial position for credit recommendations.
0-5 years of experience
Located debtors to collect on delinquent medical bills for major hospital
- Negotiated payment plans and made inquires to insurance companies
- Resolved debtors disputes with client services
- Answered customer questions regarding problems with their accounts
- Provided excellent customer service to clients, customers and co-workers
0-5 years of experience
Reviewed payers’ responses and plans appropriate collections activities to secure payments on delinquent accounts.
- Made outbound collections calls to patients and insurance companies to obtain claim and payment status.
- Thorough knowledge of electronic billing protocols and the ability proactively address problems with patients, Medicaid, Medicare and Managed Care.
- Successfully generated over $100k in revenue in collection and $1.1 million in accounts.
- Responsible for accurate and timely submissions of insurance claims to third party carrier or fiscal intermediaries’ according to the rules and regulations governing claims processing.
- Proactively address problems with patients, Managed Care, Medicare, Medicaid and Third party Insurance regarding payments, effective and term dates
0-5 years of experience
- Performs invoice processing activities for national contracts, to ensure receivables are reimbursed in an accurate and timely basis.
- Researches and resolves daily denials that have not passed payer edits and may lead to an appeal of denied services.
- Utilizes various resources to determined patient’s eligibility.
- Prepared adjusted and corrected bills.
- Evaluate, analyze and monitored the processing of invoices and on- line notes, utilizing a windows-based data processing system.
0-5 years of experience
Contacted delinquent account holders and assist them with payment options.
- Verified patient insurance information to ensure timely processing of claims.
- Maintained client debt records and ensured compliance with FDCPA guidelines.
- Resolved customer billing inquiries and disputes.
6-10 years of experience
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
- Research questions and concerns from providers and provides detailed responses.
- Actively maintained correct working knowledge of CPT and ICD-9 coding principles, government regulations, protocols and third party requirements regarding billing.
- Demonstrated knowledge of HIPAA Privacy and security regulations by appropriately handling patient information.
- Interact with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
- Performed billing and coding procedures for ambulance, emergency room, inpatient and outpatient services.
- Precisely evaluated and verified benefits and eligibility.
- Efficiently performed insurance verification and pre-certification and pre-authorization functions.
- Arrange and assist with hospital admissions.
0-5 years of experience
- Advised in resolution of customer billing issues through typical inquiries
- Managed delinquent accounts, initiating collection procedures as required
- Gathered insurance information to maintain updated patient files
- Posted payments from Medicare and secondary insurance companies
- Adjusted off balances due to non-payable codes or timely filing
0-5 years of experience
Collected on delinquent medical accounts by contacting patients via automated dialer.
- Receiving inbound calls to set up payment plans or fill in insurance information in database.
- Responded to personal voicemails and provided counseling on health care benefits.
- Created letters and faxed documents to patients, insurance carriers, and other responsible parties in the pursuit of getting a claim resolved.
- Verified billing information for electronic claims, hard copy billing and mailing out notices.
- Analyzed and interpreted medical documents, contracts, receipts, notes, and other correspondence.
0-5 years of experience
Coordinated with insurance carrier to develop all correspondences
- Monitored all delinquent accounts. Submitted appeals to Medicare
- Medicare accounts from 2010 to current were resolved and paid
- Administered credit balances for patients and payers
- Ability to use all resources ( Zirmed, Availity, BCBS) in finding correct insurance. Used the correct contractual in billing patients and according to the plan of insurance
- Performed medical collections as per guidelines
0-5 years of experience
Contacted both insurance companies and patients regarding the processing of their insurance claims.
- Processed military benefits for the VA.
- Provided exceptional customer service to all parties via telephone and email.
- Keep claims updated and properly documented in our ticketing system.
0-5 years of experience
Third party medical collections on bad debt 30+ days, arrange payments, payment plans to clear debts.
- Collected and managed medical bad debt – Collection range ($1-$100,000 +)
- Case management of predetermined queue, Contact Patients via phone and auto dialer.
- Negotiated and scheduled for current and future payments, Negotiate Settlements to close out file
- Maintained calendar and set appointments for future payments
- Reviewed documents to determine eligibility (MFAP, Medical ect.)
- Accepted electronic payments (via check, credit card)
- Heavy Data Entry
- Skip tracing
- Heavy inbound and outbound calls 100+ per day
0-5 years of experience
Analyzed outstanding balances on Aging Reports to determine appropriate course of action
- Appealed denials with appropriate documentation per payer requirements. Write appeal letters as necessary.
- Demonstrated a strong working knowledge of ICD-9, CPT, and HCPCS codes and HIPAA laws.
- Prepared adjustments such as refunds, contractual differences, and write-offs for approval and processing.
0-5 years of experience
Responsible for entering in charges with the correct modifiers and diagnosis codes
- Maintained and handled the aging report to keep payment under 120 days
- Worked on denials, appeals, short paid claims, and submitted claims with medical necessity
- Worked on all outstanding claims and contacted different insurance companies to check claim status and to get checks expedited
0-5 years of experience
Responsible for entering in charges with the correct modifiers and diagnosis codes
- Maintained and handled the aging report to keep payment under 120 days
- Worked on denials, appeals, short paid claims, and submitted claims with medical necessity
- Worked on all outstanding claims and contacted different insurance companies to check claim status and to get checks expedited
0-5 years of experience
Responsible for entering in charges with the correct modifiers and diagnosis codes
- Maintained and handled the aging report to keep payment under 120 days
- Worked on denials, appeals, short paid claims, and submitted claims with medical necessity
- Worked on all outstanding claims and contacted different insurance companies to check claim status and to get checks expedited
6-10 years of experience
Performed all billing of claims, post adjustments and performed self pay reviews
- Possesses general knowledge of UB04 and 1500 codes and biling requirements
- Assisted in mentoring of new hires including, but not limited, to shadowing and answering general collections questions
- Re-mediated and resolved accounts receivable balance for government and non-government healthcare provider clients
- Possesses ability to professionally communicate (in all forms) with payer resources such as: website, e-mail, telephone, customer service department, etc
- Consistently meet/exceeded all established department/client quality and productivity standards
- Adhered to the HIPPA privacy and security regulations
- Performed Customer Service duties for incoming and outgoing calls from patients, payers and client
0-5 years of experience
Exceptionally good at dealing with the queries and complaints of the customer and identifying the solution.
- Typing speed if 30 wpm.
- Very energetic, hardworking and self-motivated.
- Excellent in communication both verbally and written with the organizational and interpersonal skills.
- Responsible for the processing accounts, managing the records information, billing etc.
- Responsible for communicating with the insurance companies for the payment of the claims.
- Answer the patient’s queries, problem and complaints and also identify the solutions.
0-5 years of experience
- Provided professional customer service
- Contacted patients and advised outstanding hospital bills and applied HIPPA
- Dealt with attorneys regarding PIC and WCP cases and negotiated lien balances
- Contacted insurance companies for status of claims
- Assisted patients with billing issues and reviewed EOB’s
- Process payments daily into Collect one
- Skipped traced accounts for new patient contact information
0-5 years of experience
Provided customer support to patients who were past due on their medical accounts
- Restructured payment plans to help patients meet their financial needs and obligations
- Ensured patient balance was billed properly to insurance companies
- Prepared collection materials and correspondence
0-5 years of experience
Responsible for the processing accounts, managing the records information, billing etc.
- Maintained the accounts, pending medical record, injury account, compensation etc.
- Responsible for communicating with the insurance companies for the payment of the claims.
- Answer the patient’s queries, problem and complaints and also identify the solutions.
- Screened and approved the accounts to be processed to the agencies.
- Manages the pending accounts for billing.
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Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
