Medical Collector (Medical Collection Agent)

Beverly Hills Oncology Me•Beverly Hills, CA

9d•$24 - $30

About The Position

The Medical Collector is responsible for planning, organizing, and coordinating daily operations to support quality patient financial services and streamlined access to care. The role provides administrative and clerical services, coding and billing support, payment collection, and input into process improvement, with a strong focus on collecting from insurance companies. Duties also include insurance verification, review of authorizations, determining patient financial responsibility, researching demographic information, and accurately maintaining information in electronic medical records and practice management systems.

Requirements

At least 5 years of healthcare collections experience.
Strong focus on collections from insurance companies.
Ability to accurately enter information into electronic medical records (EMR) and practice management software.
Ability to assess patient financial responsibility based on insurance EOBs, contract language, and contract management software.
Ability to verify patient demographics and insurance eligibility, obtain authorizations, and identify coverage types and limitations.
Excellent verbal and written communication skills with physicians, employees, patients, families, and diverse populations.
Analytical skills to evaluate patient financial responsibility across departments according to provided guidelines.
Ability to work effectively with others and collaborate across departments.
Effective appeal-writing skills in collaboration with physicians for medical necessity appeals.
Ability to multitask, work independently, and solve problems.
High level of professionalism and accountability.
Excellent computer skills and EMR knowledge.

Nice To Haves

Exposure to an oncology and/or imaging setting is highly preferred.

Responsibilities

Plan, organize, and coordinate daily operations supporting patient financial services and access to service.
Provide administrative and clerical services, coding and billing support, and collect payments, with a strong focus on insurance collections.
Verify insurance for new and current patients and review incoming authorizations.
Determine patient financial responsibility using explanations of benefits (EOBs), contract language, and contract management software.
Research and verify patient demographic information using online verification systems.
Verify insurance eligibility, obtain authorizations, and identify types of insurance coverage and limitations when appropriate.
Collaborate with physicians on medical necessity appeals and write appeals.
Work with staff within the department and other departments to support continuity and quality of care.
Contribute to process improvement.