SENIOR COLLECTOR

Patient Care America•Pompano Beach, FL

About The Position

The Senior Collector is responsible for overseeing the collection process with a focus on medical records management and appeals oversight. This role involves handling complex account issues, managing medical records for reimbursement purposes, and ensuring that appeals are submitted and resolved in a timely and efficient manner. The Senior Collector will also work closely with the Lead Collector to enhance collection processes and improve overall team performance.

Requirements

High school diploma or GED required; Associate’s or Bachelor’s degree preferred.
3+ years of healthcare collections experience, with emphasis on appeals and medical records management.
In-depth knowledge of Medicare, Medicaid, and third-party payor guidelines, including billing and collection procedures.
Strong understanding of regulatory and compliance requirements related to medical records and appeals processes.
Excellent analytical and organizational skills.
Proficiency with billing software and systems, such as New Leaf/R2.
Strong communication skills, with the ability to collaborate with internal and external stakeholders.
Ability to handle complex cases and manage multiple tasks under tight deadlines.
You must be able to pass a drug, background screen and be eligible to work in the U.S.

Responsibilities

Oversee the preparation, submission, and follow-up of appeals to payors, ensuring timely and accurate resolution.
Manage medical records associated with claims, ensuring proper documentation for reimbursement purposes.
Collaborate with the collections team to resolve escalated and complex accounts, identifying and addressing root causes of denials.
Monitor appeals performance and ensure that all deadlines are met, reporting on trends and outcomes to the Lead Collector.
Coordinate with intake, billing, and other departments to gather and verify necessary documentation for appeals.
Maintain accurate records and ensure compliance with HIPAA and other regulatory guidelines.
Provide training and support to team members on appeals and medical records processes.
Participate in process improvement initiatives to enhance collections workflows and outcomes.
Ensure all accounts are audited regularly to identify any missing or incomplete medical records that could impact payment.
Deliver exceptional customer service to patients, internal teams, and payors.