Medical Collections Resume Sample

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Cecilia Larkin
62706 Hansen Circles,  Boston, MA
+1 (555) 963 6781

Work Experience

Medical Collections Specialist
03/2018 - PRESENT
Detroit, MI
  • Statusing of accounts by cross referencing open A/R to insurance carrier contact via phone or electronic remit information
  • Enter information in appropriate fields in the ledger for the information to be uploaded overnight to reports
  • Identification of underpayment from insurance companies
  • Appeals and rebills of denied charges, rejected claims or any other issues that affect reimbursement
  • Understanding carrier’s criteria and appeals process and where to obtain medical records and/or other necessary documentation
  • Follow up on appeals and rebills in a timely manner
  • Document information in the ledger in a clear and accurate manner to insure others can follow documentation
Medical Collections Representative
04/2013 - 02/2018
Phoenix, AZ
  • Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
  • Accountable for the office’s accounts receivable balance, inclusive of billing and collections
  • Performs billing function for all patients and clients,
  • Utilizes system to bill patients and clients and
  • Monitor status of billed and unbilled accounts,
  • Interacts with electronic biller to ensure all e-bills for office(s) are accurate and processed in a timely manner
  • Tracks all invoices with special payment terms, including credit card and bank drafts
  • Accurate entry of payment information in appropriate fields in the ledger
Medical Collections Admin
11/2010 - 12/2012
Houston, TX
  • Identification of underpayment from payers
  • Accurate entry of rejected and/or denied status on open charges
  • Clear and accurate documentation of claim status in ledger
  • Maintain strictest confidentiality in adherence with all HIPAA and/or other regulatory guidelines and/or regulations
  • Adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and 'leading practices'
  • Receive up to 100 inbound calls from patients inquiring about their accounts
  • Administrative tasks as assigned my management
  • Ascertains and measures employees’ productivity in many forms
  • Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed


Everest University - Clearwater Campus
2005 - 2010
School's Degree in Healthcare

Professional Skills

  • Excellent personal computing skills and a working knowledge of MS Office software
  • Excellent personal computing skills and a working knowledge of MS Office softwar
  • Strong communication and interpersonal skills (verbal, written, and listening)
  • Strong computer skills in medical billing systems
  • Excellent telephone etiquette and communication skills (written and verbal)
  • Excellent computer skills and the ability to pass a typing test
  • Excellent verbal, written, and social skills

How to write Medical Collections Resume

Medical Collections role is responsible for research, software, microsoft, typing, credit, training, database, collections, compensation, reporting.
To write great resume for medical collections job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Medical Collections Resume

The section contact information is important in your medical collections resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Medical Collections Resume

The section work experience is an essential part of your medical collections resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous medical collections responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular medical collections position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions.

Representative Medical Collections resume experience can include:

  • Knowledge of Medical Billing practices; prior medical billing or data entry experience is desired
  • 0 Proficient to expert computer skills utilizing desktop-based software and components
  • Great communication, problem solving and analytical skills required
  • Strong analysis of EOBs for collections experience
  • Prior medical collections experience
  • Analytical skills and the ability to manage multiple tasks

Education on a Medical Collections Resume

Make sure to make education a priority on your medical collections resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your medical collections experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school

These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Medical Collections Resume

When listing skills on your medical collections resume, remember always to be honest about your level of ability. Include the Skills section after experience.

Present the most important skills in your resume, there's a list of typical medical collections skills:

  • 0 Effective written and verbal communication and good telephone skills
  • Good foresight and problem solving skills
  • Solid computer skills with emphasis on Microsoft office products
  • Strong proficiency in Excel and other Microsoft Program skills
  • Outstanding listening, communication, problem-solving, and research skills
  • Information gathering, problem analysis and solving skills

List of Typical Experience For a Medical Collections Resume


Experience For Medical Collections Specialist Resume

  • Pass an online skills assessment
  • Medical Collection experience
  • Posting account adjustments as a result of written communication from third parties (i.e. certain contractual adjustments, etc.)
  • Identify coding or billing issues from EOBs and work to correct errors with audit team or client
  • Responsible for achieving and maintaining accounts receivable days

Experience For Medical Collections Team Lead Resume

  • Contact patients and physician’s offices as needed in order to expedite claims processing
  • Uses outside Skip tracing vendors to find current patient phones #’s addresses and credit scores
  • Locate accounts with old or bad information through skip-tracing
  • 14. Process correspondence from patients concerns regarding account
  • Contact patients and insurance companies concerning unpaid balances and record changes to account within practice management system
  • Review and prepare claims for electronic billing submission

Experience For Medical Collections Representative Resume

  • Identify billing errors for correction and resubmit via adjustment or new submission
  • Organize research and preparing appeals
  • Knowledge of billing criteria and guidelines
  • Capable of adapting to multiple application of software
  • Makes outbound phone calls to patients with delinquent accounts and collects a high percentage of outstanding balances for services rendered
  • Identifies delinquent patient accounts within the billing system
  • Review and audits Associates’ productivity. Identifies Associates’ areas of additional training

Experience For Medical Collections Team Lead-medicare Resume

  • Knowledge of Patient Accounting Principles
  • Contact via phone to determine and resolve issues or outstanding claims
  • Follow up on all commercial claims from billing through final resolution
  • Processes and maintains accounts receivable records, including cash receipts, claims and overdue invoices
  • Knowledge of claims and billing
  • Contact patients about overdue bills and accounts that are being sent to collections
  • 0 Knowledge of ICD-9, ICD-10, CPT coding

Experience For Medical Collections Manager Resume

  • Knowledge of medical codes, insurance claims, and researching denials
  • Resolve client-billing issues and rescue accounts receivable
  • Scan and fax documents pertaining to patient accounts received by carrier
  • Researches, analyzes and resolves billing discrepancies between patient and client
  • Correctly bill or request billing for various insurances
  • Possess in-depth understanding of claim denials and actions required for insurance payment / resolution
  • Ensures timely generation of billing
  • Proficiency in Microsoft Office including Excel, Word and Access

Experience For Medical Collections Associate Resume

  • An understanding of insurance companies expectations and requirements for claims
  • Be familiar with Medical billing/revenue cycle
  • Prepares accounts for legal review when unsuccessful in reaching an agreement with debtors
  • Works with attorneys and insurance companies on resolving delinquent accounts that where related to automobile accidents, workers comp, etc
  • Evaluates patient’s financial status and establishes payment plans. Follows up on payment of delinquent accounts and updates status

Experience For Days Medical Collections Specialist Resume

  • Maintains exceptional service and integrity with customers and client accounts through accurate, timely, relevant, and quality work efforts of all inventory assigned to the self pay billing revenue cycle and call center. 45%
  • Drives inquiries from customers and clients towards resolution which includes the identification of the appropriate source of payment or assistance program 35%
  • Records and maintains complete and accurate documentation of all activity performed on appropriate medium. 15%
  • Informs management of operational issues impeding performance or customer satisfaction including but not limited to those impacting the customer, client, or the company 5%
  • Reviews / audits Associates’ productivity. Identifies Associates’ areas requiring additional training
  • Assists with Associates’ difficult accounts and workload and continually provide training to the Associates

Experience For Medical Collections Admin Resume

  • Update accounts in GPMS with information obtained through correspondence and telephone (i.e. insurance, authorization, address, baby’s name, etc.)
  • Maintains exceptional service and integrity with customers and client accounts through accurate, timely, relevant, and quality work efforts of all inventory assigned to the self pay billing revenue cycle and call center
  • Make outbound courtesy calls to patients regarding accounts greater than 70-90 days past due
  • Document discussions with and/or promises from patients in the collections system
  • Send letters to dismissed patients for balance delinquency and doctor-patient relational problems
  • Work directly with, and act as a representative of CPFCC between outside collection agencies or attorneys
  • Post all patient payments and agency payments to appropriate accounts
  • 10. Research and resolve all questions and discrepancies presented by patients

Experience For Temporary Medical Collections Specialist Resume

  • 11. Prepare accounts to be sent to agency/collection attorney or in-house collections
  • 12. Process bankruptcy notifications and suit requests from collection attorney
  • 13. Assist any walk-in patients with their questions, concerns or payments
  • 15. Process and review statements and refunds
  • Provide detailed follow up with patients and payors in the form of, but not limited to phone calls, fax transmittals and e-mails

Experience For Medical Collections Resume

  • Obtain accurate demographic, insurance and financial information from patients to ensure all account information is accurate
  • Handle inbound and outbound medical collections calls
  • Oversee patient accounts and revise accordingly
  • Participate in client meetings
  • Maintain the strictest confidentiality in accordance with all HIPAA guidelines/regulations
  • Stay abreast of code changes, updates to reimbursement guidelines, and coverage policies
  • Research and follow claims appeal guidelines/processes
  • All follow up aspects of AR for assigned carrier

List of Typical Skills For a Medical Collections Resume


Skills For Medical Collections Specialist Resume

  • Proficient computer skills (Word, Excel, Internet, Billing Software, Email, Computer Knowledge)
  • Communicate and collaborate effectively with other internal as well as external resources in order to resolve issues
  • Professional communication skills with attention to courtesy
  • Attention to detail with consistent and persistent collection skills
  • Prior high volume medical/patient collections experience is required
  • Exceptional organizational skills and ensure attention to detail
  • Experience in medical billing and collections with a billing company or healthcare facility in insurance claims and patient-A/R follow-up
  • Experience working in a medical office billing office
  • At least one year of medical billing related experience and/or training

Skills For Medical Collections Team Lead Resume

  • Follow work list prioritization of accounts as established by department head for resolving accounts and/or submitting claims
  • Strong ability to meet production goals while simultaneously maintaining quality standards
  • Skilled in medical billing database and EHR systems
  • Have follow-up experience with insurance companies and patients for complete claims processing and maximum payment
  • Experience performing insurance follow-up
  • Experience billing New York State Workers' Compensation and No Fault Insurance

Skills For Medical Collections Representative Resume

  • Knowledge of medical terminology and medical billing and collection experience
  • Adaptability to handle changing priorities in a high volume, fast-paced work environment
  • Solid understanding of medical collections
  • Experience in Collections and billing
  • Recent Medical Billing experience is required

Skills For Medical Collections Team Lead-medicare Resume

  • Solid understanding of consumer collections
  • Previous experience working with an electronic medical system
  • Previous experience with CPT Codes, ICD-10, and ICD-9
  • Has strong ability to identify, analyze and solve problems
  • Strong team player and maintains a positive and professional attitude
  • 0 Demonstrated knowledge of medical terminology

Skills For Medical Collections Manager Resume

  • Strong work ethic with the ability to maintain clean AR
  • Proven knowledge of explanation of benefits (EOBs)
  • Medical Collections experience
  • Experience in Medical Collections
  • Experience in medical field/ familiar with medical terminology
  • Excellent tenure working for health care companies
  • Medical collection experience

Skills For Medical Collections Associate Resume

  • Experience in Medical Insurance collections
  • Experience in healthcare industry; preferably in insurance follow up and/or collections
  • Knowledge of insurance benefits which includes: deductibles, co-insurance, out-of-pocket, plan exclusions, and prior authorization requirements
  • Medical Hospital Collections experience
  • MediCal managed care experience is required
  • Medical Collections or relevant experience
  • Hospital Collections experience
  • Strong knowledge and implementation of appeals process

Skills For Days Medical Collections Specialist Resume

  • Explanation of benefits (EOB's) experience required
  • Medical collections experience desired
  • Basic Computer/Windows experience
  • Medical Collections experience
  • Consumer collections experience
  • Demonstrated knowledge of medical terminology

Skills For Medical Collections Admin Resume

  • Identifying and corrects any coding or billing problems from EOBS
  • Maintaining accurate reporting of all of the task completed daily
  • Ensuring accounts are current and accurate
  • Making outbound calls to customers with past due accounts to gain payments
  • Working knowledge of practice management software
  • Following up on activities on all accounts to ensure prompt payment
  • Handling patient and insurance inquiries

Skills For Temporary Medical Collections Specialist Resume

  • Working of aged accounts
  • Working closely with other Revenue Department teams
  • Resolve potential disputes regarding shipping, products or accompanying follow up activity
  • Manage incoming and outgoing calls regarding medical collections
  • Reviewed contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed
  • Review contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed

Skills For Medical Collections Resume

  • Remote workers are responsible for establishing and furnishing approved work home area
  • Follow up with patients and insurance companies regarding outstanding payments and use practice management system to track account revisions
  • Working in a corporate healthcare office setting
  • Capable of working in a fast paced environment and knowing when to push back
  • Understanding of provider contracts and credentialing
  • Understanding of basic accounting functions
  • Respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues
  • Resolve any incoming phone inquiries from insurance providers requesting medical records and/or letters of medical necessity

List of Typical Responsibilities For a Medical Collections Resume


Responsibilities For Medical Collections Specialist Resume

  • Computer proficiency; experience in Epic software
  • Communicate issues that are prohibiting claim adjudication to management for resolution
  • Healthcare patient accounting exp., with a focus on insurance follow-up
  • Understand billing and field locations and definitions of UB04
  • Patient Billing Correspondence
  • Research anomalies in the AR
  • Follow up and investigate denials

Responsibilities For Medical Collections Team Lead Resume

  • Submission of 1st and 2nd level appeals and follow up to completion
  • Timely submission and follow up of claims and corrected claims
  • Handle insurance overpayments and complete insurance/patient refunds
  • Post Deductibles, copay's, coinsurance etc
  • Review Medicare/Medicaid Remittance advise for payment errors, rejection and denials

Responsibilities For Medical Collections Representative Resume

  • Correspond appeal denials done in a timely manner with pro-active follow-up on appeals in process
  • Investigate past due balances for patients and insurance companies and use practice management system to note changes in account
  • Maintain and update patient accounts accordingly
  • Look into overdue amounts for patients and insurance organizations and track account changes within practice management system
  • Supervise patient accounts and make revisions as necessary
  • Reviews daily transactions to ensure there are no declined credit card payments and follows up accordingly
  • Documents all patient correspondence appropriately
  • Medical collections. Physician/hospital

Responsibilities For Medical Collections Team Lead-medicare Resume

  • Assist with Associates’ difficult accounts and workload and continually provides training to the Associates; monitors Associates’ hours worked and provides backup support in Manager’s absence
  • Update accounts in GPMS with information obtained through correspondence and telephone (ie; insurance, authorization, address, baby’s name, etc.)
  • Insurance Verification and Research
  • Identify problem accounts and reviews accounts for discrepancies and potential issues
  • Negotiate payment plans with parties responsible for payments

Responsibilities For Medical Collections Manager Resume

  • Monitor claims via reports generated
  • Contact insurance companies to resolve claims not paid in a timely manner
  • Update and note actions taken on account
  • Mail collection notices or letters to encourage payment of delinquent accounts
  • Thorough knowledge of collections and the ability to apply the knowledge to all aspects of patient account including insurance, billing, and collection processes
  • Knowledge of ICD-9, ICD-10, CPT coding
  • Follow up on all commercial payer claims from billing through final resolution
  • Review and advise for payment errors, rejection and denials

Responsibilities For Medical Collections Associate Resume

  • Keep current with regulations and procedures
  • Act cooperatively and responsibly with co-workers, management and clients
  • Maintain confidentiality, at all, times
  • Flexible to departmental and client changes
  • Proactively seek final resolution on all denied medical claims
  • Identifies any over payments and/or duplicate payments, and investigates and resolves. Processes refund requests, in accordance with polices and procedures
  • Adheres to Regulatory/Payor Guidelines and policies & procedures

Responsibilities For Days Medical Collections Specialist Resume

  • Resolve errors and make claim edits assigned
  • Aggressively follow the life of the claim through the appeal processes until claim is paid
  • Keep current with insurance regulations and procedures
  • Maintain a professional attitude and confidentiality
  • Maintain Flexible to departmental and client changes

Responsibilities For Medical Collections Admin Resume

  • 0 Ability to work well with others
  • Follow up on payment errors, low reimbursement, denials etc
  • Ensure maximization of collection dollars from insurance companies in accordance with the respective contracts
  • Obtain corrected information and request rebills
  • Respond to payer’s request for additional information/documentation
  • Confer with Billers & Coders, as necessary, to obtain additional information/clarification

Responsibilities For Temporary Medical Collections Specialist Resume

  • Co-ordinate requests for medical records
  • Provides balance breakdown to document the status, i.e., primary payor balance, secondary or credit balance, patient balance
  • Provide clear and concise documentation of every action taken on an account in the system collection notes
  • Knowledge of insurance plans and providers
  • Professional appearance and demeanor are required
  • Proficient in Microsoft office and internet research

Responsibilities For Medical Collections Resume

  • Adapt, improvise and overcome challenges
  • Working knowledge of collections helpful, but not required. Demonstrated communication and problem solving skills and the ability to act/decide accordingly. Ability to collect, create and research complex or diverse information. Exceptional customer service and the ability to plan organize and exercise sound judgment
  • Insurance collections experience within the healthcare industry
  • Proficient knowledge of payer portals
  • Accurately read and interpret EOBs (understand CARC / RARC codes)
  • Proficient knowledge of value codes, condition codes and modifiers

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