Collections specialist vs medical collector

Differences between collections specialist and medical collector duties and responsibilities

Collections specialist example responsibilities.

• Manage university A/R processes and enforce tuition payment policy.
• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Review denied Medicare and Maine Medicaid insurance claims for accuracy.
• Analyze hospital insurance claims of individual patients for errors and contact major insurance carriers for claims dispute resolution.
• Analyze accounts for patients ineligible for private insurance, Medicare or Medicaid and indicating inability to pay balance.
• Possess effective persuasion and negotiation skills, excellent interpersonal and communications skills with the ability to deliver quality customer service.
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Medical collector example responsibilities.

• Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.
• Perform as a mediator between insurance companies and patients collecting nationwide extensive medical bills.
• Utilize A/R reports and identify accounts that are past payments.
• Maintain a filing system of clients' medical records and disclosure following HIPPA guidelines.
• Post appropriate adjustment types and carrier payments to accounts for true A/R account balance reflection.
• Maintain strict confidentiality; adhering to all HIPAA guidelines/regulations.
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