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1

medical collector

  • Effectively resolved insurance denials and/or billing issues.
  • Tracked the progress of all outstanding insurance claims.
  • Followed up with insurance companies on unresolved claims 
  • Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with physicians, and participating in the coding team’s regular meetings.
  • Filling appeals for denials due to medical necessity, Authorization over-payment requests, low payments, and experimental/investigation denials 
  • Review patient medical records, utilized clinical evidence and arguments to provide convincing appeal arguments as to why a claim should be paid.
  •  Maintained records of appeals in accordance with department policies 
2

junior medical collector

  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into the computer software.
  • Mailed medical claim forms and records to insurance companies
  • Scanned and fax medical records
  • Identified and reported trend denials.
  • Ensure compliance with HIPPA regulations
  • Soft collections 
  • Understanding of Explanation of Benefits (EOB) 
3

medical collector

  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into the computer software
  • Mailed medical insurance claim forms and records to insurance companies
  • Negotiating payment agreements with third party companies 
  • Worked on approximately 30 invoices daily
4

medical collector

  • Worked on approximately 30 invoices daily