Medical Collector Resume Sample
Darius Konopelski
71822 Cormier Springs,
Philadelphia,
PA
+1 (555) 162 3847
Work Experience
Senior Medical Collector
07/2017
-
PRESENT
Chicago, IL
- Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts to Manager
- Learn new computer applications quickly and independently and become a skilled user of the company’s or JV partner’s proprietary database
- Ensure all collection activity information is entered accurately into system; bring recurring issues to Supervisor’s attention
- Collect on government Medicare, Medicaid, Worker’s Compensation, and commercial insurance and patient outstanding balances
- Experience collecting on government, Medicare, Medicaid, Worker’s Compensation, and commercial insurance and patient balances
- Experience updating patient accounts with registration, insurance, demographic, scheduling, and billing data
- Experience performing high volume in person and phone patient customer service in a fast paced environment
Medical Collector
07/2012
-
01/2017
Chicago, IL
- Type 40+WPM required (alphanumeric & 10-key typing)
- Knowledge of working within the Hospital revenue cycle and collecting on inpatient facility charges
- Identifies bad debt write-offs and A/R adjustments. Initiates write-off and adjustments in accordance with policies and procedures
- Identifies any overpayments and/or duplicate payments, and investigates and resolves. Processes refund requests, in accordance with policies and procedures
- Experience doing Medical Collections
- Medi-Cal collection experience is highly desirable
- Knowledge with EOBs
- Experience in Excel, Word, Outlook
- Mostly on the phone - aggressive collections
Bad Debt Medical Collector
03/2008
-
03/2012
Los Angeles, CA
- Government and commercial collections
- Follow up and appeals
- Currently using Advantix
- Call and status outstanding claims with third party payors
- Review claims issues, make corrections as needed, and rebill. Utilize claims clearing house to review and correct claims and to resubmit electronically when available
- Review explanation of benefits to ascertain that claim processed and paid correctly
- Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation
- Prorate patient accounts and monitor that balance due is in the correct financial class
- Weekly reporting to BOD an overview of the week and participate in AR meetings
Education
Herzing University Madison
2002 - 2007
School's Degree in Healthcare
Professional Skills
- Strong desktop PC skills in MS Excel
- Innovative thinking/problem solving skills
- Proven experience administering appeals in a high-volume claims environment
- Three to five years prior office experience
- Experience offering and setting up payment plans for patients; tailoring payment plans unique to a person’s financial situation
- Experience working for a billing company; collections
- Experience working with a document imaging system
How to write Medical Collector Resume
Medical Collector role is responsible for research, software, credit, training, database, reporting, insurance, government, excel, collections.
To write great resume for medical collector job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Medical Collector Resume
The section contact information is important in your medical collector 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
- Telephone number
Work Experience in Your Medical Collector Resume
The section work experience is an essential part of your medical collector 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 collector 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 collector position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Medical Collector resume experience can include:
- Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment
- Proven ability to interface with physicians, hospital staff, insurance plans, ancillary providers and patients
- Medical collections experience
- Submitting additional medical documentation and tracking account status by monitoring and analyzing assigned unresolved third party accounts
- Researching accounts and refiling or appealing claims
- Advising supervisor and/or manager on trends of payment and problems as seen by conducting reconciliations of logs with payer
Education on a Medical Collector Resume
Make sure to make education a priority on your medical collector resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your medical collector 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 Collector Resume
When listing skills on your medical collector 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 collector skills:
- Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures
- Effectively handle complex payer denials; responsible to ensure that secondary claims are sent and paid
- Experience collecting on surgeries
- Experience working with commercial and/or government insurances
- Proven success in reducing DSO and collections
- Experience performing full cycle medical insurance collections for multispecialty physician and hospital services
List of Typical Experience For a Medical Collector Resume
1
Experience For Accounts Receivable Medical Collector Resume
- Primary functions are resolution of patient balances, insurance claims, and credit balance management
- Understands and can explain the Explanation of Benefits received from any payer
- Has thorough knowledge of ASC Allowable procedures
- Handles contracted and non-contracted; HMO, PPO, EPO, POS, Worker’s Com., self-pay and third party reimbursement issues
- Acts as a collector to obtain the maximum reimbursement for hospital services
- Responsible for all accounts with a contracted insurance as the primary or current payer
- Promotes teamwork and process improvement organization wide
2
Experience For Bad Debt Medical Collector Resume
- Aggressively seek final resolution on all denied medical claims
- Research, compile, and respond to documentation requests from insurance carriers in a timely basis
- Contact insurance carriers to collect on zero paid account balances
- The Insurance Reimbursement Specialist is responsible for the collections of insurance claims
3
Experience For Hospital Medical Collector Resume
- Timely management of unpaid claims as assigned, through the use of the client’s office manager; aging reports; correspondence; Clearinghouse and PM rejections; SharePoint
- Manage and track information requests to client
- Complies and enforces and policies and procedures
- Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements; Specific goals include 1,400 accounts worked per month
- Making and receiving telephone calls from patients and insurance companies regarding accounts. Responding to all requests for information or clarification necessary for the payment of outstanding accounts
- Reviewing Accounts Receivable Trial Balances and identifying unpaid or underpaid claims; determining reasons for balance and taking appropriate steps to contact appropriate party to resolve payment issues
- Preparing adjustment forms as needed to correct accounts and submitting forms to the supervisor
- Participating in the resolution of complex billing questions and inquiries as well as acting as a knowledgeable resource for staff related to data integrity, application of plan benefits to patient accounts, and compliance with payer specific state and federal rules and requirements
4
Experience For Senior Medical Collector Resume
- Informing supervisor and/or manager of payment discrepancies and ensuring that all payer reason codes, remark codes, and payer correspondence are posted accurately and in a timely manner
- Billing or re-billing accounts in order to finalize such accounts
- Resolving issues with payers, debit and credit balances, and responding to all requests for information or clarification necessary for the payment of outstanding accounts
- Makes clear legible notes in Medi-Tech pertaining to any collection efforts made on accounts. (Proper use of activity codes.)
- Works account assigned to work list both expediently and thoroughly to expedite payment and final disposition of account
- Performs timely follow up and ensures appropriate action taken at system-mandated intervals
- Identifies Hospital/Corporate contracted payers
5
Experience For Msrdp Medical Collector Resume
- Performs special projects and assignments in an accurate, efficient, and thorough manner
- Explains hospital deposit policies and payment arrangement standards
- Meets cash goal requirements and all other KPI??s
- Perform research on insurance payer’s websites
- Research and follow claims appeal guidelines/processes
- Knows how to interpret insurance benefits
6
Experience For Medical Collector Resume
- Commercial, Medicare, and Medicaid background
- Contacting payers, via website, phone and/or correspondence, regarding reimbursement of unpaid accounts over thirty (30) days or more, also researching and following up on denials and requests for additional information
- Heavy Medicare Experience
- Interpret Managed Care contracts and/or Medicare and Medicaid rules and regulations to ensure proper reimbursement/collection
- Make necessary adjustments as required by plan reimbursement
7
Experience For Accounts Receivable Medical Collector Resume
- Proficiency with electronic medical records (EMR)
- Work independently and collaboratively within..
- Organized and detail-oriented
- Complex denial research
- LCD; modifiers knowledge
8
Experience For Bad Debt Medical Collector Resume
- Complex denial research
- Patient balance report
- Credits and refunds
List of Typical Skills For a Medical Collector Resume
1
Skills For Accounts Receivable Medical Collector Resume
- Experience with processing all levels of appeals
- Entry level or experienced physician's collectors/hospital collectors
- 2-3 years previous medical collectors' experience
- Previous medical collectors' experience
- Out of Network Claims Experience
2
Skills For Bad Debt Medical Collector Resume
- Experience with Insurance verifications
- Aetna / Blue Cross / managed care company experience
- Basic experience with excel; be able to sort/ filter/ navigate
- Experience required with familiarity in appeals
- Organize/prioritize workload
- Demonstrate positive attitude in the work environment
3
Skills For Hospital Medical Collector Resume
- Two years medical collections experience, preferably in a fast paced environment
- Understanding of provider contracts and credentialing
- Working knowledge of MS Office applications which includes Outlook, Word, Excel, and Power Point
- Working knowledge of healthcare code sets
- Working knowledge of clean claim practices
4
Skills For Senior Medical Collector Resume
- Working knowledge of the adjudication process
- Understanding of the complete healthcare revenue cycle
- Monitoring and reconciliation of claims to include
- To include outbound and inbound insurance carrier calls, reprocessing claims, drafting appeals, working denials and resolving unpaid claims
- Knowledge of working within the Hospital revenue cycle and collecting on inpatient facility charges
- Resolve any incoming phone inquiries from insurance providers requesting medical records and/or letters of medical necessity
5
Skills For Msrdp Medical Collector Resume
- Handle a fast paced environment of 40-70 claims per day, working with the follow up or denials team
- Managed delinquent accounts initiating collection procedures as required
- Prepared accounts for legal review when unsuccessful in reaching an agreement with debtors
- In-depth knowledge of medical terminology and billing processes
- Data entry and fast typing speed
- Knowledge of working within the healthcare revenue cycle
- Knowledge of medical coding
6
Skills For Medical Collector Resume
- ICD-9 and/or ICD- 10 coding knowledge
- Provide ongoing appropriate collection activity on appeals until the payer has responded to the appeal
- Responsible for documenting ANY and ALL activities, contact, and communication with insurance companies in the system
- Identify payer specific billing requirements
- Working of aged accounts
- Answer patient, client, or insurance carrier questions regarding claims
- Working knowledge of healthcare code sets
- Working knowledge of clean claim practices
7
Skills For Accounts Receivable Medical Collector Resume
- Provide ongoing appropriate collection activity on appeals until the payer has responded to the appeal
- Responsible for documenting ANY and ALL activities, contact, and communication with insurance companies in the system
- Identify payer specific billing requirements
- Answer and resolve all incoming calls and requests in a timely manner
- General knowledge of CPT/ICD9
- General knowledge of CPT / ICD9
- Utilize multiple patients accounting and billing applications including but not limited to FISS/GPnet direct connect systems, claims clearing house systems, payer systems, etc
- Experience in a high volume work environment
8
Skills For Bad Debt Medical Collector Resume
- Hospital Collections (UB04 forms)
- Knowledge of both In Network and Out of Network Facility and Physician Claims
- Familiarity with Websites; manual insurance websites
- Contact clients about overdue bills and accounts
- Ensured state and federal regulation compliance for medical collections
- Maintained patient account balances based on required time frames
9
Skills For Hospital Medical Collector Resume
- Work with customers to establish patient payment plans
- Gathered medical record data to input and update patient information in computer system
- Ensured medical collection activity was conducted as per company local and state guidelines
- Written and verbal communication
- Microsoft Suite and medical records software
- Learn new computer applications quickly and independently
- Knowledge of MS Office and Excel
- Proficient in Microsoft Outlook, Word, Excel
10
Skills For Senior Medical Collector Resume
- Demonstrates proficiency in Microsoft Office (Excel, Word, and Outlook) applications; knowledge of, or ability to learn, AdvantX – Accounts Receivable System, Smart, HOST and other systems as required. Demonstrates ability to type on PC keyboard
- Strong communication skills; both oral and written
- Confident working in fast paced environment
- Knowledge of CMR, E-Power and Centricity is desired
- Review EOB’s, remits and payer correspondence in the course of performing account follow-up and escalate any identified issues to the appropriate area for review and response to expedite claim resolution
- Experience with account resolution
- Experience with collections in ASC, Pain, Ortho, and/or neuromodulation
- At least 1 year of EPIC experience
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