Medicare Biller Collector
On-siteMadison, Alabama, United States
Job Summary
Review and audit accounts in the contract denial management system daily to resolve collection status before escalation. Process commercial accounts, verify eligibility, correct claims, and file third-party insurance information within hospital affiliates. Utilize the denial management system to respond to carrier requests, analyze expected reimbursement, and review EOBs to determine accurate account balances and appeal processes. Identify and correct transactions such as invalid insurance data, incorrect charges, and posting errors in the host system. Post adjustments and verify claim export data across electronic billing, contract, and host systems. Manage a large volume of accounts with high accuracy while communicating effectively with internal departments, physician offices, patients, and payors.
Required Qualifications
- General application knowledge of EXCEL, WORD, and ACCESS
- High school diploma or GED
- Must be able to effectively manage a large volume of accounts while maintaining a high accuracy and positive outcomes
- Effective communication skills verbally and written with internal Hospital departments, Physician Offices, Patient, and Insurance payors
Desired Qualifications
- Proven applicable experience working in an environment that utilizes electronic billing, internal report archives, and tools for applicable database management
- 3 + years working experience of Hospital or Physician office billing and collection processes including producing account appeals with positive outcomes
- Prefer at least 1 year of supervisory experience
- Proven applicable experience of preparing complex correspondence to resolve accounts
- Prefer associates degree from an accredited college with some applicable college courses
- Prefer applicant with certification in coding, physician office management, or applicable college courses
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.