Medical Collector (H)

University of Miami•Medley, FL

2d•Onsite

About The Position

The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Medical Collector to work in Miami, FL. The Medical Collector in the Compromised Settlements Unit serves as the primary liaison between third parties, such as law firms, third party records retrieval companies, patient advocates, and internal departments, including insurance, coding, and other teams. This role primarily processes subpoenas and statutory attorney requests (766 requests) for copies of billing records for accounts involving legal representation. In addition, the Medical Collector coordinates with internal departments to ensure accurate billing, timely follow-up, and resolution of accounts, and applies appropriate account indicators and billing holds while supporting settlement negotiations in compliance with HIPAA regulations and organizational policies.

Requirements

High School diploma or equivalent required
Minimum 1 year of relevant experience required
Excellent written and verbal communication skills
Knowledge of HIPAA regulations, legal cases, and health insurance billing and collections processes, including familiarity with commercial insurance, PIP, WC, Medicaid, and Medicare
Experience with Epic or similar electronic medical records/billing systems
Proficiency in Microsoft Word, Excel, and PDF documentation
Ability to manage multiple accounts and deadlines effectively
Strong collaboration and communication skills to coordinate with law firms, third party retrieval companies, patient advocates, and internal departments
Ability to meet or exceed performance metrics in a fast-paced, compliance-driven environment.

Nice To Haves

Any relevant education, certifications and/or work experience may be considered.

Responsibilities

Serve as the primary liaison between law firms, third party records retrieval companies, patient advocates, and internal departments for accounts involving legal representation, including personal injury (PI), workers’ compensation (WC), bankruptcy-related cases, probate accounts requiring Statements of Claim, and billing dispute accounts.
Process subpoenas and 766 requests for copies of billing records, including verifying HIPAA compliance, generating itemized bills from Epic, compiling billing packets, and submitting documentation to third-party law firms.
Handle requests from patient advocates regarding patient accounts, ensuring timely and accurate information while maintaining HIPAA compliance.
Apply billing indicators and billing holds in accordance with organizational policy.
Bill appropriate payers in coordination with the Billing and Collections departments, including PIP, WC, commercial insurance, Medicaid, and Medicare.
Apply account adjustments in accordance with organizational policies and EOBs.
Communicate and follow up with law firms, patient advocates, and internal departments via outbound calls, inbound calls, and email to resolve account and claim issues.
Negotiate settlements in accordance with organizational policy.
Monitor and manage Epic Workqueues (Legal, Bankruptcy, and Probate) for assigned accounts, including following up on case status, insurance claim updates, and correcting or rebilling accounts as necessary.
Meet or exceed established productivity, quality, and compliance metrics, including timeliness of subpoena and 766 request processing, accuracy of billing documentation, and adherence to HIPAA and organizational standards.