Medical Collection Responsibilities:

  • Call insurance companies and utilize payor websites to resolve unpaid insurance claims.
  • Initiate the review and appeal process on disputed claims.
  • Obtain goal expectations set forth by management.
  • Meet payer requirements for timely adjudication of claims.
  • Assertive collection efforts.
  • Manage high-volume patient accounts.
  • Establish a Positive Patient Experience.

 

Customer Service Rep Responsibilities: 

  • Answering, forwarding and logging incoming calls.
  • Sorting, stamping, scanning, linking and forwarding incoming mail according to department protocols.
  • Comprehending insurance and patient responsibilities in relation to account balances and billing.
  • Resolving patient, center, and internal account inquiries, both verbal and written. Forwarding the inquiries to the Lead and members of the A/R team or appropriate supervisors as necessary if unable to resolve inquiry.