Medical Collector Specialist
Job Description
Job Description
We are looking for a Medical Collector Specialist with specific expertise in orthopedics to join our team. The ideal candidate will be responsible for managing accounts receivable, appealing denials, maintaining patient billing information in electronic systems, ensuring regulatory compliance, and optimizing reimbursement for the practice.
Key Responsibilities:
- Communicate with patients and insurance companies to discuss bills, verify coverage, and address discrepancies.
- Investigate and resolve medical claim denials and initiate appeals for unpaid claims.
- Ensure compliance with federal, state, and local healthcare regulations and guidelines, including the Fair Debt Collection Practices Act (FDCPA), and company-specific compliance standards.
- Maintain patient confidentiality and adhere to HIPAA regulations.
- Stay updated on coding and billing changes, as well as orthopedic-specific procedures and terminology.
- Provide detailed reports to management on collection efforts, payment trends, and overall accounts receivable status.
Qualifications:
- Minimum of 2 years of medical billing/collection experience in an orthopedic setting.
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
- Proficient in medical terminology, especially orthopedic terms and procedures.
- Experience with medical billing and collections software, electronic medical record (EMR) systems and payer portals.
- Strong knowledge of PIP and Worker's Compensation laws and regulations.
- Excellent attention to detail and organizational skills.
- Strong communication and interpersonal skills.
- Ability to work independently and as part of a team.
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