Medical Collector Resume Samples

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Medical Collectors collect on bills that are due with regard to medical services that have been rendered. Duties shown on example resumes of Medical Collectors include maintaining all collection activities for government payers and manage care, and obtaining payments by contacting insurance carriers regarding accounts not paid within a predetermined time. Insofar as an educational background is concerned, employers look for applicants who can list high school diplomas or their equivalent as a minimum on their resumes.

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1

Medical Collector/account Manager

Trained medical collectors on FACX and taught strategies on how to persuade debtors to pay their entire balance or set up payment arrangements on delinquent medical bills.

  • Under the direct supervision of the Floor Manager, monitored the collection floor, resolved complaint calls, and served as a positive role model for my peers.
  • Achieved my monthly goal of $10,500(net) monthly from date of hire.
  • Transmitted workman's compensation, personal injury, and personal insurance claims for payment.
  • Accurately and effectively updated accounts with patient information.
Candidate Info
11
years in
workforce
1
year
at this job
BA
Business Management
Medical Administration
Social Services
2

Medical Collector

Corresponded with Medicare, Medicaid, [company name], Humana and other major payers regarding reimbursement on wound physician medical claims, while applying strict state jurisdictions. Reduced aged account receivable by 75 percent.

  • Analyzed managed care contractual issues, provided feedback to the Credentialing Department.
  • Applied provider payments on accounts, applying contractual managed care reimbursement rates.
  • Relentlessly submitted written appeals to payers, on denied claims for adjudication and resolution. Successfully overturning numerous insurance's decisions.
Candidate Info
11
years in
workforce
3
months
at this job
BS
Health Service Administration
MA
Administration
Project Management Education
3

Medical Collector

Managed and collected delinquent patient accounts within required time frames

  • Maintained patient information and updated it on system
  • Worked with debtors to establish payment plans
  • Prepared accounts for legal review when unsuccessful in reaching an agreement with debtors
  • Worked with attorneys and insurance companies on resolving delinquent accounts that where related to automobile accidents, workers comp, etc.
  • Ensured medical collection activity was conducted as per company, federal and state guidelines
  • Exceeded daily quota of 250 calls daily
  • Exceeded Monthly goal of $40,000 monthly
Candidate Info
5
years in
workforce
2
years
at this job
HS
High School Diploma
Medical Assistant
4

Medical Collector Team Leader/claims Collector

Trained and monitored employee production on a daily basis to ensure all performance goals are met, accounts are being dealt with, and records are being maintained in an orderly and productive manner.

  • Oversaw all collector and biller activities.
  • Assisted with reviews and audited complex problematic accounts.
  • Maintained follow up with payers in a stratified manner.
  • Assisted the section manager and performed all designated duties in the absence of the section manager.
  • Interfaced with a variety of outside organizations including Medi-Cal and, California Children's services for international medicine, pediatrics, ophthalmology, transplant, and ob/gyn divisions.
  • Maintained records in an organized manner, corrected and re-billed denied claims when necessary, and performed secondary billing.
Candidate Info
3
years in
workforce
3
years
at this job
AA
Associate of Arts
5

Medical Collector

Exceed a collection portfolio/quota of $6,500k or more per month.

  • Collected on 90 day medical accounts or older.
  • Contacted insurance companies to check eligibility and confirm claim status to ensure timely payment.
  • Partnered with attorneys to gain status information on claims and bankruptcy details.
  • Answered inbound calls from debtors and initiate outbound calls to negotiate and follow-up on payment arrangements.
  • Completed a total of 100 calls/contacts or more per day to successfully meet and/or exceed established quotas.
  • Executed a variety of documents including letters and emails in draft and final form for distribution to internal team members and external clients.
  • Negotiated settlements.
  • Tracked delinquencies and create statistical spreadsheets to keep management updated on status of accounts.
  • Analyzed customer's financial position for credit recommendations.
Candidate Info
16
years in
workforce
8
months
at this job
6

Medical Collector

Located debtors to collect on delinquent medical bills for major hospital

  • Negotiated payment plans and made inquires to insurance companies
  • Resolved debtors disputes with client services
  • Answered customer questions regarding problems with their accounts
  • Provided excellent customer service to clients, customers and co-workers
Candidate Info
13
years in
workforce
4
years
at this job
BA
Computer Science
7

Addison Search - Account Analyst/medical Collector

Reviewed payers' responses and plans appropriate collections activities to secure payments on delinquent accounts.

  • Made outbound collections calls to patients and insurance companies to obtain claim and payment status.
  • Thorough knowledge of electronic billing protocols and the ability proactively address problems with patients, Medicaid, Medicare and Managed Care.
  • Successfully generated over $100k in revenue in collection and $1.1 million in accounts.
  • Responsible for accurate and timely submissions of insurance claims to third party carrier or fiscal intermediaries' according to the rules and regulations governing claims processing.
  • Proactively address problems with patients, Managed Care, Medicare, Medicaid and Third party Insurance regarding payments, effective and term dates
Candidate Info
9
months in
workforce
7
months
at this job
HS
Medical Billing & Coding
8

Medical Collector

  • Performs invoice processing activities for national contracts, to ensure receivables are reimbursed in an accurate and timely basis.
  • Researches and resolves daily denials that have not passed payer edits and may lead to an appeal of denied services.
  • Utilizes various resources to determined patient's eligibility.
  • Prepared adjusted and corrected bills.
  • Evaluate, analyze and monitored the processing of invoices and on- line notes, utilizing a windows-based data processing system.
Candidate Info
13
years in
workforce
7
months
at this job
C
Real Estate Agent
Computer Programming
9

Medical Collector

Contacted delinquent account holders and assist them with payment options.

  • Verified patient insurance information to ensure timely processing of claims.
  • Maintained client debt records and ensured compliance with FDCPA guidelines.
  • Resolved customer billing inquiries and disputes.
Candidate Info
2
years in
workforce
2
years
at this job
HS
High School Diploma
AS
Associate of Science
10

Medical Collector

Accurately entered procedure codes, diagnosis codes and patient information into billing software.

  • Research questions and concerns from providers and provides detailed responses.
  • Actively maintained correct working knowledge of CPT and ICD-9 coding principles, government regulations, protocols and third party requirements regarding billing.
  • Demonstrated knowledge of HIPAA Privacy and security regulations by appropriately handling patient information.
  • Interact with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
  • Performed billing and coding procedures for ambulance, emergency room, inpatient and outpatient services.
  • Precisely evaluated and verified benefits and eligibility.
  • Efficiently performed insurance verification and pre-certification and pre-authorization functions.
  • Arrange and assist with hospital admissions.
Candidate Info
12
years in
workforce
6
years
at this job
HS
High School Diploma
AS
Criminal Justice

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