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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
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