Collector - Medicare

Job Description:

The Medicare Collector manages follow-up on assigned Medicare accounts to make sure claims are resolved and paid accurately and on time.

Key Responsibilities:

• Follow up on assigned accounts in the billing and collection systems, following department procedures and meeting productivity goals.
• Submit required documentation to speed up payment.
• Respond promptly and accurately to questions and correspondence from payers, patients, and other parties.
• Confirm that all conditions for payment are met, including accurate charges, ICD-10-CM and CPT coding, prior authorization, insurance eligibility, and benefit coverage.
• Review reports to find denials and edits, correct claims, and decide whether to rebill or appeal.
• Recommend action plans to prevent repeat denials.
• Review accounts for needed write-offs or adjustments, following department procedures.
• Stay current on department software and on Medicare billing rules and requirements.

Required Skills & Qualifications:

• High school diploma or equivalent
• 1 year of collections experience in a hospital or medical business office; Medicare collections experience preferred.
• Knowledge of medical terminology.
• Familiarity with Medicare claims tools and appeals process preferred.
• Working knowledge of computers, including billing systems and Microsoft Office
• Typing speed of 35 wpm with accuracy
• Strong communication and problem-solving skills

Your Extraordinary Career Starts Here

We invite you to join our team of professionals where your unique talents will be well utilized in a work environment that promotes your further growth and development. In return for your valuable service and contributions, Powers Health offers a competitive wage and benefits package along with the necessary tools, resources, and mentoring opportunities to support your career advancement goals.

Our comprehensive benefits program includes, but is not limited to:

• Medical, dental and vision coverage
• Wellness program, including free screenings
• Healthcare and Dependent Care Spending Accounts (HSA)
• Retirement savings plan
• Life insurance
• Disability income protection
• Employee Assistance Program (EAP)
• Fitness center discount program
• Tuition assistance and career development
• Paid Time Off (PTO)
• Reward and recognition programs

Join our team of healthcare professionals at Powers Health. Apply today!