Senior Collector

About the Role

Reviews claims to resolve outstanding balances and secure accurate and timely payments from third-party payors. Located at 8435 Stemmons Bldg.

Education

Must have a High School diploma or GED.

Experience

Must have three (3) years of experience in a hospital business office, physician business office, or insurance company, to include two (2) years of experience in medical billing and/or collecting from third-party payors. May have an equivalent combination of education and/or experience in lieu of specific experience as stated above.

Skills

• Demonstrated working knowledge of personal computers and standard office equipment.
• Ability to exercise good judgment in handling government and/or non-government accounts and understand managed care and insurance contractual arrangements.
• Working knowledge of medical software.
• Detail-oriented with basic mathematical and sharp analytical skills to resolve financial issues related to third-party payors, physicians, patients, and the system.
• Positive demeanor, good verbal and written communication skills, and professional appearance and approach.
• Ability to handle stressful situations and multiple tasks simultaneously, including discussing outstanding claims, taking action on denied claims, and processing appeals.
• Effective communication with patients, families, government entities, insurance companies, and Parkland staff.
• Problem-solving within established policies and procedures.
• Basic medical terminology knowledge preferred.
• Bilingual skills preferred.

Responsibilities

• Contact payors to follow up on outstanding claims, verify reasons for non-payment, correct accounts, re-bill claims, and perform adjustments.
• Respond to routine denials from payors (e.g., inability to identify patient, coordination of benefits, non-covered services, past filing deadlines) to ensure required information is transmitted for payment processing.
• Perform actions to resolve account balances promptly, including submitting appeals, correcting account information, coordinating medical records requests, and posting adjustments.
• Document all actions taken on accounts in the system to ensure clarity for others.
• Conduct routine audits of individual accounts to resolve discrepancies in balances.
• Inform the Supervisor of payor requirement changes and analyze/report repetitive denials for corrective action.
• Track productivity and provide cumulative reports as required by supervisor/manager.
• Maintain positive working relationships with agencies, patients, insurance companies, government entities, clinical personnel, and Parkland staff to promote teamwork and a positive public image.
• Serve as a positive role model, demonstrate strong interpersonal skills, and accept constructive criticism.

Job Accountabilities

• Identify ways to improve work processes and customer satisfaction, make recommendations, and monitor results to support departmental goals.
• Stay updated on industry developments by attending seminars, reading journals, participating in professional organizations, and maintaining certifications/licensure.
• Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines, and develop internal controls to ensure compliance with laws and accreditation requirements.