Collector Physician Billing

Mount Sinai Medical Center•Miami Beach, FL

About The Position

The Collector – Physician Billing manages physician accounts receivable by resolving denied, pending, and unpaid claims to maximize reimbursement. The role uses the EPIC Physician Billing system, conducts insurance follow-up, prepares and tracks appeals, reviews medical records to support claims, and accurately documents collection activity. The position requires strong organization, attention to detail, collaboration, and the ability to resolve complex billing issues and meet productivity goals in a high-volume environment.

Requirements

High school diploma or equivalent, or equivalent level of experience.
Knowledge of physician billing, accounts receivable, and claims collection processes.
Knowledge of managed care benefits and plans, including PPO, POS, HMO, Medicare, and Medicaid.
Experience with claim denials, appeals, insurance follow-up, and reimbursement resolution.
Ability to navigate payer portals and billing systems; EPIC is preferred.
Strong analytical, communication, and documentation skills.
Ability to prioritize workload, meet deadlines, and maintain accuracy in a high-volume environment.
Team-oriented approach and commitment to continuous learning and process improvement.

Nice To Haves

Experience with the EPIC billing system.

Responsibilities

Learn and use the EPIC Physician Billing system to complete work assignments.
Prioritize tasks on an ongoing basis to maximize productivity and efficiency while maintaining accuracy.
Work claims workqueues to resolve claim issues and identify denied claims requiring appeals.
Track first- and second-level appeals and follow up on deferred claims through resolution.
Document collection activity clearly and concisely on patient accounts, including claim issues and actions taken.
Access claim and eligibility information through payer web portals, including SPOT, and contact insurers by telephone to process pending claims.
Review medical records for medical necessity and submit records with reconsideration reasons for claim appeals.
Attend educational programs as assigned by the manager and participate in team discussions.
Organize work, identify and resolve errors, and establish priorities to complete work without creating backlogs.
Share information with team members to support quality performance.
Seek information from the team leader, manager, and other departments as needed to resolve claim issues.
Participate in special collection projects and meet established deadlines.
Pursue opportunities to acquire knowledge and improve skills.
Perform other duties as assigned.