Medical Collector
- Verify client demographics, authorizations, CPT codes, and claim details related to denials or underpayments.
- Research claims using insurance portals, Central Reach, and EOBs to determine resolution paths.
- Review clearinghouse activity for denials and manage resubmissions or corrections.
- Collaborate with the billing team to correct and resubmit denied claims due to billing errors.
- Identify timesheet, coding, or documentation issues, and escalate for resolution.
- Track and report payer trends, recurring denials, or discrepancies; recommend action plans to management.
- Respond to incoming calls and correspondence from payers regarding account status.
- High School Diploma or GED required.
- 1-2 years of experience in medical billing and/or collections.
- Strong understanding of claim denials, EOBs, and medical billing processes.
- Excellent verbal and written communication skills.
- Strong attention to detail and organizational skills.
- Self-motivated, accountable, and team-oriented.
- Critical thinker with a desire for process improvement.
- Familiarity with ABA therapy or behavioral health billing preferred.
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