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Accentuate Staffing is recruiting for a Medical Collector to join a local company in the Raleigh area.

Responsibilities:

• Coordinates, monitors, and manages the follow-up on unpaid claims.
• Monitors aging of claims to ensure timely follow-up and payment.
• Ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
• Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims.
• Responds to inquiries regarding claims with under payment or non-payment.
• Ensures that claims are processed accurately through review and audit functions to ensure timely payment.
• Reviews error codes associated with claims to ensure correction, resubmission, and subsequent payment.
• Analyzes common errors to support quality assurance efforts.
• Ensures corrected claims are sent out and monitored for payment.
• Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims.
• Maintains a working knowledge and understanding of CPT-4 and ICD-9 codes.
• Prepares routine management reports, quality reports, and special reports as directed by supervisor.
• Communicates collection problems to supervisor and makes recommendations for changes.
• Assists other accounts receivable staff with workload and provides back-up support in their absence.
• Participates in administrative staff meetings and attends other meetings and seminars.
• Assists in evaluation of reports, decisions, and results of department in relation to established goals.

Requirements:

• High school diploma or GED and 3-5 years claims experience to include one year of data entry.
• An Associate’s degree is preferred and/or years of related experience may be accepted in lieu of degree.
• Strong customer service orientation and excellent written and verbal communication skills are required.
• Individual must have knowledge and experience using information management systems and word processing applications.