Insurance Collector Resume Samples

The job description of an Insurance Collector is to locate and notify customers of delinquent accounts by mail, telephone or personal visit to solicit insurance premium payments. The other duties are listed on the Insurance Collector Resume as follows – receiving payments and updating the customer account, preparing statements of active and non-active accounts, keeping records of collection and account status, initiating collection proceedings on unpaid accounts, reviewing coding, reviewing denials and EOB’s, processing appeals to insurance companies and carrying out other delegated duties.

Irrespective of job setting, the following skills and abilities are expected from potential applicants – a good knowledge of health information technology, familiarity with coding and billing, knowledge of EHR, knowledge of payment collection protocols, insurance liaising skills and knowledge of claims submission and account crediting. It is possible to begin a career in this line with a degree in accounting or economics or business administration.

Insurance Collector Resume example

Insurance Collector Resume

Summary : Results driven dedicated proactive credit management professional whose record includes exceeding corporate objectives for setting new record for reduction of bad debt and increase in revenue by 30% over the previous year.

Skills : Typing, Microsoft Word and excel, customer service support., Fax, star application, medical manager, Premis , and Star applications., Scanning, multi telephone lines.

Description :

    1. Review accounts for billing accuracy in order to maximize reimbursement.
    2. Follow-up on claims status Appeal, and re-bill or forward claims for recalculation and/or adjudication as necessary.
    3. Data entry, correct insurance assignment to patient accounts, insurance eligibility verification.
    4. Review/update demographics and patient information for accuracy.
    5. Investigate all denied services to determine the reason for the service denial, appeal, if appropriate.
    6. Review and work various reports including aging, adjustments and credit balances.
    7. Work with insurance to obtain payment for facility and or facilities.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
General Study


Medical Insurance Collector Resume

Headline : Detail-oriented Office Assistant with solid background in medical insurance knowledge and strong ability to assist in efficient company operations.

Skills : MS word, Windows, Epic computer system, spread sheets.

Description :

    1. Calculated negotiated provider reimbursement to insure proper reimbursement.
    2. Performed daily telephone and Internet contact with insurance providers to discuss status of claim and reimbursement to ensure payment in a timely matter.
    3. Researched aging reports for unpaid billed claims.
    4. Performed necessary task to have commercial and workers comp EOB's reprocessed to receive the correct total reimbursement.
    5. Performed corrections on claims and re-billed as necessary.
    6. Performed task on Medicare and Medicaid denials, follow-ups, denials and re-bills.
    7. Performed online collection procedures for payment, increasing on-time payments.
    8. Maintained and prioritized daily tasks and projects including: unpaid claims, appeals, credit balances.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Insurance


Senior Insurance Collector Resume

Summary : Service-oriented Office Clerk with 3 year background in Office environment. Competencies including case management and planning, organization and directing as well as excellent communication and time management skills. Handles tasks with accuracy and efficiency.

Skills : Micrsoft Office Suite.

Description :

    1. Use computers for various applications, such as database management or word processing.
    2. Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.
    3. Create, maintain, and enter information into databases.
    4. Operate office equipment, such as fax machines, copiers, or phone systems and arrange for repairs when equipment malfunctions.
    5. Greet visitors or callers and handle their inquiries or direct them to the appropriate persons according to their needs.
    6. Complete forms in accordance with company procedures.
    7. Make copies of correspondence or other printed material.
    8. Conduct searches to find needed information, using such sources as the Internet.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Bachelor Of Arts

Jr. Insurance Collector Resume

Summary : Over 10 years of health care experience, including medical terminology and hospital policies and procedures. Customer Service and conflict resolution skills. Proficient with computer applications, including Windows and Word.

Skills : Fluent In Russian/English.

Description :

    1. Review monthly accounts receivables, follow up for resolution, insurance contact and claim re-files when necessary.
    2. Knowledge of oncology billing reimbursement as well as CPT-4, ICD-9, HCSPS coding required.
    3. Reviews EOBs within a two-week turnaround.
    4. Document accurate collection activity in the collection tracking notes.
    5. Evaluate the status of accounts and prioritize collection action (letters, phone calls, staff assistance).
    6. Call on outstanding balances due from carriers in a timely manner.
    7. Telephone, interview, and counsel patients on outstanding self-pay balances.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Diploma

Lead Insurance Collector Resume

Summary : To obtain a position that will allow to utilize strong computer and office skills; will appreciate willingness to learn new things and make good use of customer service experience and friendly personality.

Skills : Microsoft Office, Data Entry.

Description :

    1. Premiere Medical Group of MS Process medical claims out to insurance companies for payment.
    2. Responsible for monitoring up to 1000 accounts at any given time.
    3. Research, analyze, and correct (if applicable) documents for the purpose of collecting payments.
    4. Submit appeals and reconsideration letters.
    5. Performing in depth review of accounts to determine payer coverage requirements.
    6. Understanding of compliance and payer requirements including Medicare and Medicaid.
    7. Basic understanding of the benefits investigation process which includes deductible, out of pocket and benefit exclusions.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Business Administration

Insurance Collector III Resume

Summary : Professional objective is to seek a position where can make a significant contribution to your organization. Acquired and developed great organizational skills that guide to be a reliable, efficient, honest, and hard worker.

Skills : Health Care And Accounting.

Description :

    1. Followed up on insurance claims for Government payors,Commercial payers.
    2. Review claim denials and correspondences from commercial carriers to aggressively resolve claim denials.
    3. Monitor red flag accounts rejected at clearinghouse level.
    4. Posting and reconciliation of cash payments and adjustments.
    5. Created daily audit reports for auditor and controller.
    6. Assisted patients with formulating a suitable payment plan, or applying for hardship and charity plans.
    7. Receptionist duties of answering and routing phones for twenty phone lines,distribution of mail to appropriate recipient.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
N/A In Counseling

Insurance Collector II Resume

Summary : To apply knowledge and experience in Medical Billing as well as being challenged in new and exciting ways.

Skills : Computer, Excel.

Description :

    1. Follows up on invoices submitted to ensure prompt and timely payment and escalates issues as necessary.
    2. Evaluates payments/denials received for accurateness and ensures that they are applied appropriately.
    3. Identifies bad debt write-offs and A/R adjustments.
    4. Initiates write-off adjustments in accordance with policies and procedures.
    5. Identifies any overpayments and /or duplicate payments, and investigates and resolves.
    6. Processes refund requests, in accordance with policies and procedures.
    7. Adheres to Regulatory/Payor Guidelines and policies and procedures.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Diploma In Medical

Insurance Collector I Resume

Objective : A position where individual efforts will be acknowledged thus allowing opportunities for further growth.

Skills : Outlook, Word.

Description :

    1. Extensive knowledge of all aspects of the healthcare industry.
    2. Worked with accounts receivables/payables.
    3. Collected all insurance information and credentialed physicians.
    4. Extensive knowledge of financial, corporate, and all other aspects of the health care industry.
    5. Extensive knowledge of obtaining all licensing information.
    6. Extensive knowledge of managing forms and corporate information.
    7. Extensive knowledge of legal matters and obtaining financial documents.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Associates In Arts

Insurance Collector/Specialist Resume

Summary : Worked as a Insurance Collector for a podiatrist, and for a hand specialist, which included setting up new patients, doing vitals, wound care, suture and staple removal, whirlpool and ultrasound therapy.

Skills : Excellent customer service, Team oriented, Computer literate, Good communicator, Multi-tasking expert and problem solving.

Description :

    1. Arrange for debt repayment or establish repayment schedules, based on patient financial situations.
    2. Review insurance policy to determine coverage.
    3. Prepare insurance claim forms or related documents and review them for completeness.
    4. Review insurance policy to determine coverage.
    5. Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered.
    6. Contact customers/patients to obtain or relay account information.
    7. Answer mail or telephone inquiries regarding rates, routing, or procedures.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Diploma

Insurance Collector/Advisor Resume

Summary : Experience and knowledge of 12 years analyzing medical claims. Three years of collecting money from the insurance companies and the knowledge of reviewing hospital coding of medical claims.

Skills : Experience with verifying, getting authorizations, doing appeals and correcting billing errors for all insurance.

Description :

    1. Researched the accuracy of claims filed off aging reports some accounts over a million dollars.
    2. Assured claim payments and denials were accurate.
    3. Reviewed correspondence from insurance companies and patients.
    4. Implemented and managed Financial Staff Activities Committee in the billing department.
    5. Assisted with a Medicare refund project over $700,000.
    6. Assisted supervisors and managers with multiple tasks.
    7. Worked secondary, Railroad Medicare, Commercial, and third party payers.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
BS In Management

Insurance Collector Resume

Summary : Detail-oriented graduate with strong technical skills and the ability to learn concepts quickly. Personable and responsible Cashier with 3 years in retail and customer service. Solid team player with upbeat, positive attitude. Dedicated Customer Service Representative motivated to maintain customer satisfaction and contribute to company success.

Skills : Medical Coding, Accounts Receivable, Healthcare, Customer Service, Word, Mac OS X.

Description :

    1. Notated all accounts on the outcome of the call and set follow up if needed.
    2. Resubmitted claims to insurance companies.
    3. Set up payments and legal action on a case by case basis.
    4. Would skip trace application, neighbors, family and employers.
    5. Set up garnishments and legal actions on accounts.
    6. Use third party skiptracing methods, review credit reports.
    7. Train new employees and build and create policy and producers with the owner of the company.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
General Education