POSITION SUMMARY

The A/R Collector is responsible for collecting denied or pending insurance claims through insurance calls, on-line portal status and overall trend analysis.

PRIMARY DUTIES AND RESPONSIBILITIES

• Reviews account information from various sources
• Places telephone calls to appropriate insurance companies
• Rebills accounts as necessary
• Recommends rules to be put in place to reduce denials
• Reviews account information to determine accuracy of contractual adjustments to account balances.
• Answers inquiries from insurance companies regarding balances
• Meets quota of minimum 60 claims/day
• Trend Analysis to leadership on a weekly basis to improve practice collections

EDUCATION AND EXPERIENCE:

• High school diploma or equivalent
• Experience in any of the following EMR’s such as Epic, ECW, Modmed, IMS and Nextgen EMR preferred
• Understanding of Explanation of Benefits, Reason Codes, payments, adjustments, and denials is required
• Two (2) years’ experience in collection, billing, or related field.