Insurance collector vs medical collector

Differences between insurance collector and medical collector duties and responsibilities

Insurance collector example responsibilities.

• Verify accuracy of claims, work EOB's for all insurance company types, identify and solve problems with unpaid claims.
• Handle workers' comp., HMO, PPO correspondence.
• Identify incorrect charges base on proper CPT coding and payment methodologies.
• Utilize ICD9 and CPT code medical directories for billing purposes to get paid on claims.
• Perform necessary task to have commercial and workers comp EOB's reprocess to receive the correct total reimbursement.
• Download weekly Florida Medicaid remittance amounts and send to management.
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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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