Insurance Collector, under the supervision of the Revenue Cycle Director

The Insurance Collector, under the supervision of the Revenue Cycle Director and Billing Supervisor, is responsible for accurate and timely collections of all insurance charges. 

Main Job Functions
Prepares and maintains collection reports, taking appropriate action as necessary.
Submits assigned A/R follow-up reports to Billing Supervisor weekly.
Responds to telephone inquiries from internal as well as external customers regarding billing, payment, or other account inquiries.
Analyzes and reviews claim for accuracy, completeness, and eligibility.
Submits paper claims and other supporting documentation as necessary.
Maintains knowledge of medical necessity guidelines that pertain to assigned collection accounts.
Notifies supervisor of any trends in denials or unpaid activities.
Performs complicated tasks such as appeals on complex medical necessity denials.
Works in collaboration with the entire Practice as it relates to reimbursement questions.
Meets or exceeds performance parameters as established by the Practice.
Acts as a liaison between the patient and the insurance company to resolve unpaid claims.

Minimum Qualifications

Ability to project a professional image.
Knowledge of regulatory standards and compliance requirements and clinic policies and procedures.
Working knowledge and ability to apply professional standards of practice in job situations.
Strong interpersonal skills.
Knowledge of basic accounting and medical business office procedures in the oncology setting.
Detailed understanding of appropriate ICD-9 and CPT as well as HCPCS procedural coding.
Familiar with concepts, practices, and procedures within the Medical and Radiation Oncology field.
Strong knowledge of insurance plans, both local and federal.
Strong organizational and time management skills.
Working knowledge of personal computer and software applications used in job functions (Medical software systems, data input etc.)
Persons who have been found guilty by a court of law of abusing, neglecting, or mistreating individuals in a health care related setting are ineligible for employment in this position.
Freedom from illegal uses of drugs.
Freedom from use of and effects of the use of drugs and alcohol in the workplace.
Education and/or Experience
High school diploma or equivalent required.
Two (2) or more years of medical revenue cycle experience required.
Certificates, Licenses, Registrations
None

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