Collector Physician Billing

Mount Sinai Medical Center of Florida•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 EPIC for claims work, conducts insurance follow-up, prepares and tracks appeals, reviews medical records to support claims, and documents collection activity accurately. It requires strong organization, attention to detail, collaboration in resolving complex billing issues, and the ability to 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.
Understanding of managed care plans, including PPO, POS, HMO, Medicare, and Medicaid.
Experience with claim denials, appeals, insurance follow-up, and reimbursement resolution.
Ability to use payer portals and billing systems; EPIC experience is preferred.
Strong analytical, communication, and documentation skills.
Ability to prioritize workload, meet deadlines, and maintain accuracy in a high-volume environment.
Ability to work as part of a team and commitment to continuous learning and process improvement.

Nice To Haves

Experience with EPIC billing systems.

Responsibilities

Learn and use the EPIC Physician Billing system to complete work assignments.
Prioritize work to maximize productivity and efficiency while maintaining accuracy.
Work claims work queues 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 all collection activity clearly and concisely on patient accounts, including claim issues and actions taken.
Obtain claim information and eligibility through insurance payer web portals, including SPOT, and by contacting payers by telephone.
Review medical records for medical necessity of physician services and submit supporting records with reconsideration requests for claim appeals.
Attend educational programs as assigned by the manager and participate in team discussions.
Organize work, identify and resolve errors, and set priorities to complete assignments without creating backlogs.
Work collaboratively and 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 complete them by established deadlines.
Pursue opportunities to learn and improve skills.
Perform other duties as assigned.