Medical Collector
| Verified Pay check_circle | Provided by the employer$50000 - $60000 per year |
|---|---|
| Hours | Full-time |
| Location | 575 Underhill Blvd Syosset, New York open_in_new |
About this job
Job Description
Position Summary
Integrated ENT Allergy & Immunology is seeking a motivated, detail-oriented Medical
Collector to join our Revenue Cycle team. The Medical Collector is responsible for
managing outstanding insurance and patient accounts, resolving billing discrepancies,
appealing denied claims, and ensuring timely reimbursement while delivering exceptional
customer service. The ideal candidate possesses strong analytical, communication, and
problem-solving skills and thrives in a fast-paced healthcare environment.
Key Responsibilities
• Monitor and follow up on outstanding insurance claims and patient account
balances to ensure timely reimbursement.
• Contact insurance carriers regarding claim status, payment delays, denials,
underpayments, and reimbursement discrepancies.
• Research, investigate, and resolve denied, rejected, or underpaid claims in
accordance with payer guidelines.
• Prepare and submit claim appeals with all required supporting documentation.
• Review Explanation of Benefits (EOBs), remittance advice, and payer
correspondence to identify and resolve payment issues.
• Communicate professionally with patients regarding outstanding balances,
insurance coverage, and payment responsibilities.
• Establish payment arrangements with patients in accordance with company
policies.
• Accurately document all collection activities, communications, and account
updates within the billing system.
• Collaborate with Medical Billers, providers, and administrative staff to resolve
account discrepancies and improve reimbursement outcomes.
• Maintain assigned accounts with receivable work queues while meeting
productivity and collection goals.• Identify billing trends and recurring payer issues and communicate findings to
leadership.
• Ensure compliance with HIPAA, federal and state regulations, payer requirements,
and company policies.
• Maintain strict confidentiality of all patients, financial, and organizational
information.
• Perform additional revenue cycle and collection of duties as assigned.
Required Qualifications
• Associate degree in Business Administration, Healthcare Administration,
Accounting, or a related field preferred, or an equivalent combination of education
and experience.
• Previous experience in medical collections, medical billing, accounts receivable, or
healthcare revenue cycle operations preferred.
• Knowledge of Medicare, Medicaid, commercial insurance plans, and medical
claims processing.
• Basic proficiency with electronic medical record (EMR) systems, billing software,
and Microsoft Office applications.
• Strong understanding of insurance billing procedures, collections processes, and
reimbursement practices.
• Ability to interpret Explanation of Benefits (EOBs) and insurance remittance advice.
• Excellent organizational skills with the ability to manage multiple priorities
simultaneously.
Knowledge, Skills & Competencies
• Strong verbal and written communication skills.
• Exceptional customer service and interpersonal skills.
• Excellent analytical and problem-solving abilities.
• High level of accuracy and attention to detail.
• Ability to prioritize tasks and meet deadlines in a fast-paced healthcare
environment.
• Ability to work independently while contributing effectively as part of a collaborative
team.• Professional judgment when handling confidential patient and financial
information.
• Strong negotiation and conflict-resolution skills.
• Commitment to providing outstanding service while maintaining professionalism
and empathy during patient interactions.
Benefits
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• 401(k)
• Paid Time Off (PTO)
• Paid Sick Leave
• Paid Training
• Professional Development Opportunities
Equal Employment Opportunity
Integrated ENT Allergy & Immunology is an Equal Opportunity Employer and is committed
to fostering an inclusive workplace. Employment decisions are made without regard to
race, color, religion, sex, gender identity or expression, sexual orientation, national origin,
age, disability, veteran status, or any other characteristic protected under applicable
federal, state, or local law