Medical Collector

Principle Health Systems•Houston, TX

1d•$20 - $22•Onsite

About The Position

Principle Health Systems is seeking a dedicated Medical Collector to join their team. This role involves reviewing patient bills, ensuring accuracy and completeness, and obtaining any missing information. The Medical Collector will work with commercial insurance, Medicare, and Medicaid, adhering to their rules and guidelines, including HIPAA. A key part of the role is reviewing insurance payments for accuracy and contract compliance, resolving outstanding claims and patient balances to ensure timely reimbursement. Collaboration with insurance companies, patients, and internal departments is essential for researching accounts, resolving billing issues, and maintaining accurate documentation. The position also requires monitoring accounts receivable aging reports, identifying trends in denials, and reporting concerns. The Medical Collector will consult with leads and team members to solve billing and collection questions and prepare reports as directed. Accurate documentation of all collection activities within the practice management system is crucial.

Requirements

High school diploma or equivalent.
One year of current experience within the last three years in a comparable job
Internet, email, Excel, Word, and data entry skills required.
Knowledge of HIPAA regulations; maintains strict confidentiality of patient and client information
Ability to work effectively and independently, and with other team members.
Ability to organize and complete work in a timely manner.
Knowledge of medical/surgical terminology
Knowledge of commercial payer and Federal payer guidelines, regulations, and procedures

Responsibilities

Reviews patient bills for accuracy and completeness; obtains missing information
Knowledge of commercial insurance, Medicare, and Medicaid rules and guidelines, including HIPAA. Escalate compliance issues to Lead
Review insurance payments for accuracy and compliance with contract discounts
Resolve outstanding insurance claims and patient balances to ensure timely and full reimbursement for services rendered
Work closely with insurance companies, patients, and internal departments to research accounts, resolve billing issues, and maintain accurate account documentation.
Monitor accounts receivable aging reports and prioritize collection activities as assigned by the RCM Director and Lead
Identify trends in denials or reimbursement issues and report concerns to the Lead
Consult Lead, team members, and appropriate resources to solve billing and collection questions and issues
Prepare reports and forms as directed and in accordance with established policies as directed by the Lead
Document all collection activity accurately within the practice management system

Benefits

Comprehensive medical, dental, and vision insurance
Company-paid basic life and long-term disability coverage
Voluntary benefits, including short-term disability, accident, and critical illness insurance
401(k) retirement plan
Generous Paid Time Off (15 days annually, accrued bi-weekly)
9 paid company holidays each year
On-demand access to earned wages
Confidential support services for you and your family
Mileage reimbursement
Shift differentials
Exclusive employee discounts on fitness memberships, car services, and more!