medical collector Resume Examples

medical collector

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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

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)

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