Medical Collector Resume

Medical collectors are associated with the billing department in a hospital and are primarily responsible for collecting payments debts from the patients. These professionals are in charge of performing various duties such as making regular phone calls to patient's family or insurance company to inform about pending bills, negotiating payment amounts for patients having financial issues, and using attorneys or legal officers to solve discrepancies. For working in this position, you must have a relevant degree and also a professional certification. Moreover, to get noticed by a recruiter, you must write a succinct resume highlighting major responsibilities and certain traits. To get invited for an interview, include qualities like strong communication power, problem-solving skills and ability to work in a team in your resume. For creating an efficient marketing tool, refer to the sample given below and write your own customized version.

Medical Collector Resume Sample

Harley M. Darcy
2163 Duke Lane
Jersey City, NJ 07305
Phone: 732-145-6821
Email: harley.darcy@anymail.com

Career Summary:

Detail-oriented, organized and motivated Medical Collector with over 6+ years of experience in handling payment, sending legal notices to the patient or his insurance company, and managing pending debts. Capable of maintaining up-to-date information in the billing database and resolving disputes.

Summary of Skills:

Sound knowledge about the legal procedures regarding clinical treatment debts or refusal of payments
Possess in-depth information about lower interest payment rates and various payment plans for patient's with weak financial conditions
Expertise in collecting overdue payment by making regular calls to patients and insurance companies
Proficient in answering calls from insurance companies to give accurate information about pending bills
Expertise in handling various computer applications such as mail, spreadsheet and maintaining updated clinical databases about bill payment
Strong decision-making and problem-solving skills
Team player who possess strong organizational and communication skills

Work Experience:

Medical Collector
Bolder Healthcare Solutions, Jersey City, NJ
December 2016 - Present

Carrying out detailed research about the unpaid claims and performing appropriate follow up actions for the timely resolution of claims
Working with billing department to review Accounts Receivable Trail Balances and identifying unpaid or underpaid claims to send accurate notice statements
Partnering with attorneys to gain status information about claims and bankruptcy details of the insurance company related to the patient
Coordinated with the clinic's billing department to negotiate payment amount for patients with low financial standard and making inquiries with the insurance companies before granting permission for discounted rates
Reviewing payers' responses and planning appropriate collection activities with the team to secure timely payments on delinquent accounts
Pro-actively addressing payment problems, and other financial issues with patients, Medicare, Medicaid and third-party insurance companies regarding term dates to settle the bills
Accurately entering procedure codes, diagnosis codes, treatment and patient information in the billing software to maintain updated database

Medical Collector
Kennedy Health Center, Jersey City, NJ
May 2014 - November 2016

Performed detailed research, provided information about the concerned patient's treatment, and followed-up on medical insurance claims
Provided lower interest payments and assisted to introduce tailored plans for facilitating bills
Took responsibility for the timely management of assigned unpaid claims by making use of aging reports, correspondence between the hospital and insurance provider, etc.
Effectively handled complex payer denials by involved patient or concerned insurance provider and ensured that repeat notice of claims is sent
Maintained organized records and re-billed denial claims for patients associated with multiple departments for the treatment as necessary
Performed various daily collection duties by answering calls from inbound debtors and outbound calls to negotiate and keep appropriate follow-up on the payment arrangements
Contacted the concerned patient's insurance company for checking eligibility and confirming claim status to ensure payment

Junior Medical Collector
Acadia Clinic, Jersey City, NJ
August 2012 - April 2014

Corresponded with the insurance companies regarding medical claims reimbursement
Coordinated with other collectors in the team to prepare patient profiles for legal review for debtors showing unwillingness to pay medical costs
Informed supervisor or manager of payment discrepancies and ensured all payer reason codes, remark codes, and correspondences with patient's family are regularly updated in daily reports
Collaborated with the billing department to make and receive telephone calls from patients and insurance companies for detailed description of remaining payments
Checked daily payments credited in hospital's account for determining balance and took appropriate steps to contact with patient/ insurance company for resolving payment issues
Checked due balance for the assigned patients and handled all requests for information or pending bill clarifications

Education:

Associate's Degree in Healthcare Administration
NJCU, Jersey City, NJ
2011

High School Diploma - Ridgemont High School
Jersey City, NJ 07305
2008

Certification:

Certified Healthcare Collector, 2012
Certified Medical Reimbursement Specialist, 2012

Referene:

On Request.