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Medical collector skills for your resume and career

Updated January 8, 2025
5 min read
Medical collector example skills
Below we've compiled a list of the most critical medical collector skills. We ranked the top skills for medical collectors based on the percentage of resumes they appeared on. For example, 22.3% of medical collector resumes contained patients as a skill. Continue reading to find out what skills a medical collector needs to be successful in the workplace.

15 medical collector skills for your resume and career

1. Patients

Here's how medical collectors use patients:
  • Performed as a mediator between insurance companies and patients collecting nationwide extensive medical bills.
  • Contacted patients to confirm or cancel appointments for procedures requiring prior authorization.

2. 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 medical collectors use healthcare:
  • Prepared Healthcare Services Liens on accident related treatment accounts as, motor vehicle accidents, premises and product liability accounts.
  • Fielded hundreds of incoming phone calls a week from consumers relative to balances owed on healthcare accounts.

3. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how medical collectors use customer service:
  • Performed various customer service functions and conducted account financial analysis ensuring customer satisfaction.
  • Position required utilization professional customer service skills on inbound and outbound calls.

4. Medical Collections

Here's how medical collectors use medical collections:
  • Handled medical collections and verified and filed diverse medical insurances.
  • Major accomplishments included being promoted from commercial biller to Financial Counselor and then moved over to Medical collections.

5. Appeals

Here's how medical collectors use appeals:
  • Prepared appeals for facility denials regarding medical necessity, contract underpayments, and various denials.
  • Researched contract terms and compiled necessary supporting documentation for appeals.

6. Medicaid

Here's how medical collectors use medicaid:
  • Negotiated settlement with attorney, Medicaid Medicare and workmen compensations.
  • Submitted medical claims worth 5 million weekly through the billing system to Medicare, Medicaid, and other insurance companies.

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7. HIPAA

Here's how medical collectors use hipaa:
  • Conducted all business in accordance with HIPAA's guidelines/regulations.
  • Handled sensitive patient information per HIPAA regulations.

8. Insurance Carriers

Here's how medical collectors use insurance carriers:
  • Worked closely with Utilization Management department to ensure proper authorization of services is obtained from insurance carriers.
  • Produce reports identifying trends or problems with insurance carriers and provide feedback for systematic improvements.

9. Payment Arrangements

Here's how medical collectors use payment arrangements:
  • Established payment arrangements by obtaining client credit card/personal check information by telephone in order to satisfy patient liability.
  • Establish payment arrangements, sent correct itemized statements to patient after reconciling of accounts.

10. 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 medical collectors use cpt:
  • Request coding reviews on claims denied for revenue code, HCPC, CPT, modifier and diagnosis code incompatibility.
  • Adjust claims to facilitate payment Diagnosis codes, CPT code and modifiers if justified by medical documentation.

11. Medical Terminology

Here's how medical collectors use medical terminology:
  • Utilized medical terminology for research and update of records.
  • Maintained working knowledge of medical terminology, ICD-9 and CRT codes.

12. 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 medical collectors use phone calls:
  • Answer patient and third party payer representative phone calls regarding accounts and completes proper documentation of all activity on each account.
  • Follow up with insurance company by way of internet or telephone calls for claim status as well as payment information.

13. Outbound Calls

An outbound call is made by the call center representative to the customers on behalf of the company. Such calls help increase sales and generate revenue for the organization.

Here's how medical collectors use outbound calls:
  • Provided exception customer/client service in handling inbound/outbound calls.
  • Collected on past due medical bills* Took payments and applied them to the correct system* Made outbound calls* Received incoming calls

14. 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 medical collectors use eob:
  • Reviewed EOB payments to verify correct reimbursement and performed skip tracing
  • Received EOB's by fax to verify with patients/ guarantor to verify if they were responsible for the balance.

15. 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 medical collectors use data entry:
  • Dedicated and professional client service representative-Checking emails, answering phones, Filing-Mail out client forms-Data entry, Scanning-Calendar management, Updating
  • Maintained all record keeping utilizing data entry procedures without error.
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List of medical collector skills to add to your resume

Medical collector skills

The most important skills for a medical collector resume and required skills for a medical collector to have include:

  • Patients
  • Healthcare
  • Customer Service
  • Medical Collections
  • Appeals
  • Medicaid
  • HIPAA
  • Insurance Carriers
  • Payment Arrangements
  • CPT
  • Medical Terminology
  • Phone Calls
  • Outbound Calls
  • EOB
  • Data Entry
  • Credit Card
  • Unpaid Claims
  • FDCPA
  • Insurance Claims
  • Past Due Accounts
  • Medical Insurance
  • PPO
  • HMO
  • Medical Accounts
  • Delinquent Accounts
  • Hippa
  • Medical Bills
  • Billing Issues
  • Medical Claims
  • Insurance Verification
  • Inbound Calls
  • Collection Efforts
  • ICD-9
  • Credit Balances
  • Medi-Cal
  • Customer Accounts
  • Workers Compensation
  • Computer System
  • Insurance Payments
  • Billing System
  • Insurance Coverage
  • Medical Necessity
  • Patient Statements
  • Due Balances
  • Collection Calls
  • Payment Resolution
  • Overdue Accounts
  • Patient Payments
  • DME
  • Contractual Adjustments

Updated January 8, 2025

Zippia Research Team
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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