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Insurance collector skills for your resume and career

Updated January 8, 2025

5 min read

Quoted experts

Li Zhang Ph.D.,

Li Zhang Ph.D.

Below we've compiled a list of the most critical insurance collector skills. We ranked the top skills for insurance collectors based on the percentage of resumes they appeared on. For example, 19.5% of insurance collector resumes contained patients as a skill. Continue reading to find out what skills an insurance collector needs to be successful in the workplace.

15 insurance collector skills for your resume and career

1. Patients

Here's how insurance collectors use patients:

Interviewed patients or patients' representative to obtain necessary personal and financial data required at time of admission.
Collect insurance information for approximately forty patients daily and communicate with insurance companies regarding claim information.

2. Medical Billing

Here's how insurance collectors use medical billing:

Trained new staff on the insurance follow up and our medical billing system.
Gather information about patient treatment, diagnosis, and related procedures to ensure proper medical billing for Opthalmology and Endocrinology specialties.

3. Healthcare

Healthcare is the maintenance or improvement of a person's health by the diagnosis and treatment of a person's injury, illness, or any other disease. Healthcare is a basic necessity of human life and is the responsibility of the country's government to ensure that each person gets healthcare. Providing healthcare is the job of certified health professionals that includes doctors, surgeons, nurses, and other physicians. Pharmaceutical companies, hospitals, dentistry, therapy, and health training all come under healthcare. Healthcare plays a vital role in the country's economy and its development.

Here's how insurance collectors use healthcare:

Analyzed health care insurance/litigation patient account files to resolve outstanding and delinquent accounts due to the healthcare client.
Worked with Blue Cross/Blue Shield and United Healthcare, collecting payments and calling on denials for insurance groups.

4. Medicaid

Here's how insurance collectors use medicaid:

Specialized in Medicaid Billing/ Collections.
Close working relationships with attorneys, Insurance companies; All major insurance companies, Medicaid, Medicare, and Workers Compensation.

5. Appeals

Here's how insurance collectors use appeals:

Requested and provided medical records needed for submitting appeals when necessary.
Prepared/submitted appeals for non-payment and underpayment claims per hospitals contract.

6. Insurance Accounts

Here's how insurance collectors use insurance accounts:

Maintained accurate payment to insurance accounts.
Utilized available resources to ensure efficient collections for Government payers, as well as commercial insurance accounts.

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7. Patient Accounts

Patient accounts are a part of a hospital information system that is used for storing financial data, keeping a record of healthcare costs, and providing information regarding patient billing. It deals with the financial aspects of the healthcare setting.

Here's how insurance collectors use patient accounts:

Review /balance the daily patient accounts operations [Charge Data Reports] received from all different point of services.
Worked with Attorney and Out of Network insurances to negotiate adequate payment of patient accounts in timely fashion.

8. A/R

Here's how insurance collectors use a/r:

Posted monthly A/R revenue payments and appealed denied claims with medical supporting documentation and worked underpayment spreadsheets.
Collected over $30,000 in outstanding claims from previously denied Commercial Insurance payments through persistent follow-through and thorough A/R review.

9. CPT

CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.

Here's how insurance collectors use cpt:

Utilized ICD9 and CPT code medical directories for billing purposes to get paid on claims.
Identified incorrect charges based on proper CPT coding and payment methodologies.

10. Phone Calls

Phone calls are a wireless or wired connection made over a telephone or a mobile phone between two people. Two parties are involved in a phone call, the caller and the receiver. A caller dials the number of the one he wants to call, and the recipient hears a bell or a tune to which he picks up the call. The call establishes a connection between them through which they can communicate. The voice is converted into signals and is transmitted through wired or wireless technology.

Here's how insurance collectors use phone calls:

Perform other duties customary to an office position such as preparing correspondence, answering phone calls and sending emails.
Take incoming patient phone calls and resolve denied claim discrepancies as well as accepting account payments by credit card.

11. Data Entry

Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.

Here's how insurance collectors use data entry:

Performed quality control measures of the data entry system to verify that claims and payments were posted correctly.
Front office duties, scheduling appointments, data entry, sort mail and assist receptionist as needed.

12. EOB

EOB stands for explanation of benefits. This is a common outline provided as part of many health insurance plans to explain what services were completed, the co-pay required for each appointment, and how much of your payment is covered by health insurance. EOB is an indication that your insurance claim has already been processed.

Here's how insurance collectors use eob:

Performed necessary task to have commercial and workers comp EOB's reprocessed to receive the correct total reimbursement.
Resolved duplicate payments, non-payments, inappropriate posting of denials, EOB's denials, and coding errors.

13. Insurance Carriers

Here's how insurance collectors use insurance carriers:

Credentialed all providers with insurance carriers.
Print bills from the hospital system and mail/fax claims to insurance carriers when not on file.

14. Electronic Claims

Here's how insurance collectors use electronic claims:

Submitted paper and electronic claims and followed up on insurance correspondence for all payers.
Submitted paper and electronic claims, statement and collection letters.

15. Insurance Collections

Here's how insurance collectors use insurance collections:

Composed all collection letters/delinquency notices for patient and insurance collections.
Perform private pay, commercial, private insurance collections, and worker's compensation.

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What skills help Insurance Collectors find jobs?

Tell us what job you are looking for, we’ll show you what skills employers want.

What skills stand out on insurance collector resumes?

Li Zhang Ph.D.

Professor, St. Cloud State University

There aren't many universities/colleges that offer a degree in insurance. Having some insurance education, such as a degree, or a certificate, or just taking a few insurance classes, will be sure to make applicants stand out. For those with no insurance background, demonstrating strong transferable skills from previously studied areas to the insurance industry (such as communication skills, analytical skills), strong commitment, ethical and professional attitude will make the applicants very competitive.

What soft skills should all insurance collectors possess?

Li Zhang Ph.D.

Professor, St. Cloud State University

I'd say communication skills. Many positions in insurance need to interact with others. The ability to listen carefully and responding effectively, conveying thoughts/ideas fluently is very important. Also, communicating throng writing is also important (it could range from simply completing the paperwork accurately to preparing annual reports for supervisors)

What hard/technical skills are most important for insurance collectors?

Li Zhang Ph.D.

Professor, St. Cloud State University

It would be analytical skills and numerical skills, no matter if it's in underwriting, claims, actuarial, investment, sales, or other positions. For example, a successful salesperson should be able to efficiently analyze the client's information, assess the client's need, recommend the appropriate products, and convey product advantages and disadvantages clearly. Also, competent employees should be comfortable with working with numbers/graphs to communicate with clients or coworkers.

Do you want to know more?

List of insurance collector skills to add to your resume

The most important skills for an insurance collector resume and required skills for an insurance collector to have include:

Patients
Medical Billing
Healthcare
Medicaid
Appeals
Insurance Accounts
Patient Accounts
A/R
CPT
Phone Calls
Data Entry
EOB
Insurance Carriers
Electronic Claims
Insurance Collections
Insurance Eligibility
Delinquent Accounts

Medical Insurance
Medical Claims
Paper Claims
HIPAA
Unpaid Claims
Fee Schedules
Billing Issues
ICD-9
Insurance Verification
Outbound Calls
Process Claims
Account Balances
HMO
Insurance Payments
Collection Efforts
Problem Accounts
PPO

Insurance Billing
Hippa
Insurance Benefits
Patient Demographics
Credit Balances
Payment Arrangements
HCFA
Patient Payments
Insurance Coverage
Collection Calls
Ub04
IDX
COB
Patient Billing
Tricare
BCBS

Updated January 8, 2025

Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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