Medical Collectors are shouldered with handling matters pertaining to debts of a healthcare organization. A well-drafted Medical Collector Resume emphasizes on duties such as – drafting repayment plans, collecting payments of overdue account, contacting delinquent account holders and convincing them to pay back the debts, offering lower interest rate that would enable patients to pay back soon, tailoring payment modes depending upon the financial status of patient account, obtaining payments by getting in touch with insurance carriers, and maintaining a detailed record of all payments.
The education requirement for this role may vary, as some employers require only a high school diploma or a GED, or some may need a College-level course for obtaining this position, previous experience will be advantageous for this role. As this job description involves dealing with sensitive information, Medical Collectors are required to comply with strict rules and regulations regulated by the Federal Trade Commission.
Objective : Dedicated Medical Collector with 2 years of experience in managing patient accounts and resolving claims efficiently. Proficient in verifying insurance information and ensuring compliance with regulations. Committed to improving collection rates and enhancing patient satisfaction through effective communication and problem-solving skills. Eager to contribute to a dynamic healthcare team.
Collaborated with the Blue Cross Blue Shield team to resolve denied claims for 27 carriers, enhancing recovery rates.
Utilized spreadsheets and emails to manage aging accounts effectively, prioritizing high-value claims.
Maintained detailed documentation of patient accounts to ensure compliance and accurate reporting.
Updated patient demographics and filed secondary claims to expedite processes.
Contacted insurance companies for claim status updates and resolved discrepancies efficiently.
Refiled claims for reprocessing through multiple communication methods, improving turnaround times.
Coordinated the submission of medical records to insurers for timely reprocessing.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Medical Collector Associate Resume
Objective : Accomplished Medical Collector Associate with 5 years of extensive experience in managing patient accounts and resolving complex billing issues. Expertise in insurance verification and compliance with healthcare regulations. Aiming to enhance revenue cycles and patient satisfaction through strategic communication and meticulous problem-solving.
Conduct thorough reviews of patient bills to ensure accuracy and completeness.
Maintain comprehensive knowledge of insurance policies, including Medicare and Medicaid guidelines.
Identify and bill secondary and tertiary insurance providers as needed.
Perform coding and billing tasks using advanced health information technology systems.
Utilize both electronic health records and paper documentation to maintain legally compliant medical records.
Process claims promptly as payments are received, ensuring accurate account credits.
Analyze insurance payments for accuracy, ensuring compliance with contractual agreements.
Experience
2-5 Years
Level
Junior
Education
AAS-HIT
Medical Collector Resume
Headline : Accomplished Medical Collector with 7 years of expertise in optimizing patient account management and resolving complex billing discrepancies. Skilled in insurance verification, compliance adherence, and implementing effective collection strategies. Passionate about enhancing revenue cycles while fostering positive patient relations and communication.
Skills : Proficient In Epic System, Expertise In Trust Commerce, Proficient In Medisoft, Organizational Skills, Research Skills
Description :
Thoroughly understood state and federal guidelines, ensuring compliance with HIPAA regulations.
Identified and corrected discrepancies in medical documentation, improving accuracy.
Processed claims efficiently, resulting in timely reimbursements from Medicare and commercial insurance.
Maintained compliance with all regulatory requirements for medical collections.
Monitored and reported patient credit balances, ensuring accurate financial records.
Evaluated patient benefits and eligibility with precision to facilitate timely claims.
Summary : Strategic Lead Medical Collector with over 10 years of extensive experience in optimizing collections processes and managing complex patient accounts. Expert in insurance verification, compliance, and improving collection efficiency. Adept at fostering positive relationships with patients and healthcare providers to enhance revenue cycle performance. Committed to driving results through innovative problem-solving and effective communication.
Coordinated with insurance companies to verify claims and expedite payments.
Performed clerical duties, including sorting correspondence and preparing reports.
Processed and submitted applications for insurance coverage, ensuring compliance with regulations.
Maintained detailed documentation of collection activities and account status.
Experience
7-10 Years
Level
Management
Education
B.S. HCA
Medical Collector Resume
Objective : Proficient Medical Collector with 2 years of experience in managing patient accounts and expediting claims resolution. Skilled in verifying insurance details and ensuring adherence to industry regulations. Focused on optimizing collection processes while enhancing patient relations through clear communication and effective problem-solving. Ready to bring expertise to a collaborative healthcare environment.
Skills : Medical Billing Software, Insurance Claims Processing, Data Analysis And Reporting, Patient Interaction, Follow-up Procedures
Description :
Coordinate claim activities and ensure timely reimbursement of receivables.
Managed patient accounts to ensure timely collection of outstanding medical bills.
Determine actions to resolve rejected invoices and initiate corrective measures.
Analyze outstanding accounts receivable and process claims for zero balances.
Support agency personnel in insurance claim processing.
Communicated with patients regarding their account balances and payment options.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Senior Medical Collector Resume
Summary : Seasoned Senior Medical Collector with a decade of expertise in managing complex patient accounts and maximizing revenue recovery. Proficient in navigating insurance verification and compliance, I excel in enhancing collection processes through strategic communication. My commitment to fostering positive relationships with patients and providers drives improved outcomes in the healthcare revenue cycle.
Managed medical collections for national healthcare providers, focusing on substance abuse and mental health services.
Executed follow-ups on electronically and manually billed claims to ensure prompt payments.
Maintained accurate patient contact information and followed compliance protocols.
Conducted thorough insurance verifications and eligibility checks.
Utilized Availity and Navinet for verifying insurance eligibility effectively.
Coordinated with the payment posting department to optimize monthly collections.
Utilized Medisoft and Cybermed billing software for efficient claims processing.
Experience
10+ Years
Level
Senior
Education
B.S. in H.A.
Medical Collector Resume
Headline : Seasoned Medical Collector with 7 years of experience in effectively managing patient accounts and ensuring timely resolution of billing discrepancies. Adept at verifying insurance details, maintaining compliance, and optimizing collection processes. Driven to enhance revenue cycles while delivering exceptional patient service and communication.
Skills : Billing Software Proficiency, Accounts Receivable, Credit Analysis, Record Keeping, Team Collaboration
Description :
Accurately prepared and submitted medical claims, ensuring all documentation met regulatory standards.
Effectively coded and billed for services rendered across various healthcare facilities.
Proactively researched updates on medical billing codes and procedures to enhance knowledge and efficiency.
Managed a multi-line phone system to facilitate communication with patients regarding their accounts.
Handled collections for unpaid medical bills, negotiating payment arrangements with debtors.
Collaborated with healthcare providers to clarify billing policies and resolve discrepancies.
Ensured timely posting and follow-up of all medical claims submitted.
Experience
5-7 Years
Level
Senior
Education
AAS in Med Billing
Medical Billing Collector Resume
Objective : Detail-oriented Medical Collector with over 5 years of experience in managing patient accounts and resolving billing discrepancies. Proficient in insurance verification, payment posting, and collections. Strong communication skills with a proven track record of negotiating payment plans and improving collection rates. Committed to maintaining compliance with healthcare regulations and ensuring patient satisfaction.
Interprets and enforces third-party payer rules, including Medicare requirements, to ensure compliance.
Collaborates with physician offices to resolve coding issues and maintain adherence to policies.
Conducts audits of accounts to guarantee compliance with laws and regulations regarding fraud and abuse.
Monitors Medicare reimbursements and maintains accurate records.
Stays updated on coding policies established by HCFA and relevant third-party payers.
Maintains knowledge of Medicare and third-party contracts related to Ambulatory Surgical Centers (ASCs).
Utilizes billing software to enhance accuracy and efficiency in claims processing.
Experience
2-5 Years
Level
Junior
Education
AAS
Medical Collector Resume
Objective : Motivated Medical Collector with 2 years of hands-on experience in optimizing patient account management and expediting claims resolution. Adept at verifying insurance details and ensuring compliance with healthcare regulations. Focused on enhancing collection efficiency and patient satisfaction through effective communication and problem-solving strategies. Excited to contribute to a progressive healthcare organization.
Gathered and verified insurance information from patients to reconcile overdue accounts.
Reviewed daily collector queue and executed timely follow-ups on pending claims.
Facilitated payment options with patients to resolve claims efficiently.
Maintained strict adherence to HIPAA and FDCPA regulations.
Utilized multiple systems to input and track patient account information accurately.
Delivered exceptional customer service while communicating with patients, attorneys, and insurance companies.
Assessed eligibility for charity care and insurance coverage for patients in need.
Experience
0-2 Years
Level
Entry Level
Education
A.S. HIT
Medical Collector Resume
Objective : Skilled Medical Collector with 2 years of experience in managing patient accounts and efficiently resolving billing issues. Expert in insurance verification and compliance, dedicated to maximizing collection rates while ensuring a positive patient experience. Proven ability to communicate effectively and implement tailored payment plans, contributing to the financial health of healthcare organizations.
Analyzed account data to identify trends and improve collection strategies.
Utilized collection software to track and manage accounts receivable.
Developed payment plans for patients to facilitate debt repayment.
Conducted follow-up calls to patients with overdue accounts.
Educated patients on their financial responsibilities and insurance coverage.
Negotiated payment arrangements with patients to maximize collections.
Develop and implement effective collection strategies to improve overall recovery rates.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Medical Billing Collector Resume
Objective : Medical Billing Collector is responsible for the timely, accurate and efficient collection of medical bills for patients. Responsible for the receipt, processing and coding of all incoming claims in a timely manner. This includes receipting, accounting, billing and submitting claims to insurance companies as well as patient accounts.
Skills : Microsoft Word, Typing, Microsoft Excell.
Description :
Certified Effectively managed a high-volume of inbound and outbound customer calls.
Answered a constant flow of customer calls. Addressed and resolved customer product complaints empathetically and professionally.
Defused volatile customer situations calmly and courteously.
Accurately documented, researched and resolved customer service issues.
Evaluated consumer reports on a monthly basis.
Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.
Referred unresolved customer grievances to designated departments for further investigation. Acted professionally and patiently when addressing negative customer feedback.
Experience
0-2 Years
Level
Entry Level
Education
Certified Medical Assistant
Medical Billing Collector Resume
Objective : To utilize my extensive billing experience in a Medical Billing / Collection Specialist position. Medical Billing Collector will be responsible for collecting, verifying and preparing all patient bills for submission to the insurance company.
Skills : Microsoft Office, 10 Key By Touch.
Description :
Performed Aging Report and Reconciliations of Records, Claims Utilizing HCFA 1500 collected past due accounts from insurance companies, research billing discrepancies, Performed corrected billing PPO, HMO, Medicare Medical management and Workers Comp.
Reviewed medical claims, and Appeal for under payment for complete information and requirements.
Worked accounts receivable in assigned area to maximize reimbursement.
Utilized knowledge of PPO, HMO, Government.
Contacted various payers and patients to collect on outstanding accounts.
Tracked and entered all calls for documentation, trending and reporting.
Performed in depth review of accounts to determine payer coverage requirements based on contract.
Contacted patients and insurances to obtain payments.
Submitted appeals and reconsiderations.
Experience
0-2 Years
Level
Entry Level
Education
Certified Medical Biller
Medical Billing Collector Resume
Summary : Certified Medical Billing Specialist with number years experience in a fast-paced, multiple client medical billing company. Researched and denied claims and submitted appeals. Familiar with health billing and collections.
Skills : Microsoft Office, 10 Key By Touch.
Description :
Checked insurance eligibility and patient status.
Checked insurance benefits to ensure appropriate coverage.
Processed patient payments, including allocating funds for reimbursement.
Managed accounts receivable, billing invoices, and related correspondence.
Checked insurance eligibility and patient status.
Checked insurance benefits to ensure appropriate coverage.
Managed accounts receivable, billing invoices, and related correspondence.
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