Medical collections specialist vs medical collector

Differences between medical collections specialist and medical collector duties and responsibilities

Medical collections specialist example responsibilities.

• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Job duties include collecting on HMO, PPO, Medicare, and HMO Medicaid.
• Work directly with Medicare and HMO Medicaid plans, and statewide HMO/PPO/POS plans.
• Reprocess denied medical claims using extensive appeal tactics or special appeals processing instructions for commercial and government carriers.
• Adhere to all HIPAA guidelines as well as various policies and guidelines.
• Provide itemized billing statements and screen HIPAA authorization forms for hundreds of legal firms.
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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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