Insurance Collector
Current-Responsible for resolving outstanding medical claims by assisting with moving the claim through the revenue cycle for the following groups: Medicare Advantage plans, Indian Health, prisoner/crime victim’s compensation and PPO/HMO plans.-Process and resolve outstanding claims by communicating with customer service representatives, checking payer websites, medical records submissions, submit requested information from insurance payer, contact patient for additional information needed or any additional action that assists with moving the insurance claim to final payment.-Document accurate information in patient’s account to include all actions taken to provide a full picture of the status of the account/claim.-Access patient’s Electronic Medical Record (EMR) on a as needed basis to review doctor’s orders, confirm insurance information and locate any requested information from the insurance carrier while strictly adhering to HIPAA privacy practices.-Review and interpret Explanation of Benefits (EOB’s) to determine what actions to take with a payer/claim.