AR Collector

Surgery Partners
Town and Country, MO, United States
Full-time

Description

JOB TITLE : Accounts Receivable Collector

GENERAL SUMMARY OF DUTIES :

The Collector is responsible for handling all parts of insurance claims and denials, and medical fee disputes as well as checking the status of claims.

EDUCATION / EXPERIENCE :

  • High School Diploma or Equivalent
  • 2 years of medical collections experience preferred
  • Experience with medical practice billing software necessary

QUALIFICATIONS :

  • Good verbal and written communication skills
  • Knowledge of computers with experience in windows-based systems and Microsoft Office
  • Knowledge of CPT and ICD-10 coding and electronic billing necessary
  • Ability to communicate effectively with center management, center staff, patients, their families, the physicians and their staff
  • Ability to read, write and speak the English language
  • Ability to handle frequent interruptions that result in having to re-evaluate priorities
  • Proficient in medical terminology
  • Detail oriented

COLLECTIONS :

  • Goal - Ensure that claims do not roll into 120 bucket which is considered bad debt. This is for Commercial & WC.
  • Appeal all accounts that are not paid per contract. MO does not have a fee schedule and we appeal claims that are not paid between 70-80% of our billed charges.
  • Medical Fee Disputes - All MO WC claims that are not paid between 70-80% after appealing will be filed with Shaffer Law our Med Fee Dispute attorney.

Collector (Claims Analyst) will prepare paperwork and work closely with attorney and paralegal on all accounts sent over for Med Fee Disputes.

10 days ago
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