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EM
Element Medical Billing
Medical Insurance Collectors
Career Insights for Medical Claims Processor / Representative
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Based on Florida data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$41,153 / year median in Florida
-3% projected decline
Job Description
Medical Insurance Collectors Element Medical Billing - 3.4 Port Saint Lucie, FL Job Details Full-time $16 - $18 an hour 4 hours ago Qualifications Customer communication Medical office experience Medical records Attention to detail Health information management Medical terminology Medical debt collection accounts Patient collections management Full Job Description Overview Join our dynamic healthcare team as a Medical Insurance Collector, where your expertise will drive the efficient collection of insurance reimbursements and ensure smooth billing processes. In this vital role, you will be responsible for managing outstanding medical claims, verifying insurance information, and communicating effectively with insurance companies and patients alike. Your proactive approach will help optimize revenue cycles while providing exceptional customer service to our valued clients. This position offers an exciting opportunity to apply your medical billing knowledge in a fast-paced, rewarding environment dedicated to healthcare excellence. Responsibilities Contact insurance providers to follow up on unpaid or denied claims, ensuring timely resolution and payment. Review and verify patient insurance details, including coverage limits and eligibility, using EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems. Analyze medical claims using coding standards such as DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to ensure accuracy before submission. Resolve discrepancies related to medical records, billing errors, or coding issues by collaborating with healthcare providers and insurance companies. Maintain detailed documentation of collection efforts, claim statuses, and correspondence in billing software and healthcare claims management systems. Provide excellent customer service by explaining billing procedures, answering patient inquiries, and offering guidance on insurance benefits. Stay updated on healthcare regulations and insurance policies to ensure compliance with industry standards. Qualifications Proven experience in medical collection processes within a healthcare setting or medical office environment. Strong knowledge of health insurance policies, medical terminology, and medical records management. Proficiency in Microsoft Office applications along with familiarity with billing software, EMR/EHR systems, and healthcare claims management tools. Familiarity with medical coding standards including