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Medical Collector

2 months ago

Coral Gables, United States InsideHigherEd Full time
Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.

The Central Business Office is seeking a Medical Collector. The position coordinates the functions of Collections and Customer Service on individual patient account. The incumbent will have specific knowledge on Managed Care, PPO or Commercial accounts and use this information to ensure patient demographic information is accurate, and funding source is billed and collected appropriately, accurately and timely.

Accountabilities (For Non-exempt Employees Include Percent of Effort):

Make and receive phone calls from patients and insurance companies 20%

regarding accounts. Respond to all requests for information or clarification necessary for the payment of outstanding accounts.

Review Accounts Receivable Trial Balances and identify unpaid or underpaid 20%

claims: determine reason(s) for balance and take appropriate steps to contact

appropriate party to resolve payment issue(s). Maintain tickler file of outstanding

accounts (Rep file/Alert Manager) to include telephone notes based on work to

resolve outstanding issues. Keep accurate notes of all activity

Advise Supervisor/manager on trends of payment and problems 12%

as seen by doing reconciliation of logs with payer.

Prepare adjustment forms as needed to correct accounts and submit these forms 10%

to supervisor/manager

Participate in the resolution of complex billing questions and inquiries; 10%

as well as perform/act as knowledgeable resource for staff related to data

integrity, application of plan benefits to patient accounts, and compliance

with payer specific, state and federal rules and requirements. Inform

Supervisor/Team Lead/Manager of payment discrepancies; and ensures

that all payer reason codes, remark codes, payer correspondence are posted

timely and accurately;

7. Bill or rebill accounts in order to finalize accounts. 3%

8. Solves issues with the payers; debit and credit balances; and respond to all 10%

requests for information or clarification necessary for the payment of

outstanding accounts

8. Meets or exceed established key performance standards 10%

Participate in special assignments/projects as directed by the Supervisor; 5%

and perform other duties as assigned

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Supervision Received:

Report to the Non-Government Collections Supervisor

Minimum Qualifications (Essential Requirements):

High school graduate with relevant and effective work experience. Minimum one year of patient-related clerical experience in a medical setting, including understanding of medical center and medical collection. Knowledge of Managed Care, PPO, UB04, medical terminology, CPT4 codes, ICD9 codes, technical job knowledge, and Third-Party payer requirements and reimbursement rules. Knowledge of contracts that are in force for hospital, physicians, and rules and guidelines that govern collection activities required. Must have computer skills and experience in Excel.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:Full timeEmployee Type:StaffPay Grade:H3