AR Collector

St Louis Spine & Orthopedic Surgery Center - Town and Country, MO

Full-time - Entry Level

Town and Country, MO

About the position

The Accounts Receivable Collector at St. Louis Spine and Orthopedic Surgery Center is a vital role responsible for managing the entire process of insurance claims, denials, and medical fee disputes. This position requires a detail-oriented individual who can effectively communicate with various stakeholders, including center management, staff, patients, and physicians. The Collector will be tasked with checking the status of claims and ensuring that they do not roll into the 120-day bucket, which is considered bad debt. This involves appealing all accounts that are not paid according to contract terms, particularly focusing on commercial and workers' compensation claims. The role also includes handling medical fee disputes, specifically for Missouri workers' compensation claims that are not paid between 70-80% after the appeal process. In such cases, the Collector will prepare necessary paperwork and collaborate closely with Shaffer Law, the Med Fee Dispute attorney, and their paralegal to resolve these disputes effectively. The position demands proficiency in medical terminology, CPT and ICD-10 coding, and electronic billing, as well as a strong understanding of medical collections processes. The ideal candidate will possess good verbal and written communication skills, be proficient in using Windows-based systems and Microsoft Office, and have a solid foundation in medical collections experience, ideally with at least two years in a similar role. The ability to handle frequent interruptions and re-evaluate priorities is essential, as is the capacity to work under pressure while maintaining attention to detail.

Responsibilities

• Handle all parts of insurance claims and denials.
• Manage medical fee disputes and check the status of claims.
• Ensure that claims do not roll into the 120-day bucket, which is considered bad debt.
• Appeal all accounts that are not paid per contract.
• Prepare paperwork for medical fee disputes and work closely with the attorney and paralegal.
• Communicate effectively with center management, staff, patients, and physicians.

Requirements

• High School Diploma or Equivalent.
• 2 years of medical collections experience preferred.
• Experience with medical practice billing software necessary.
• Good verbal and written communication skills.
• Knowledge of computers with experience in Windows-based systems and Microsoft Office.
• Knowledge of CPT and ICD-10 coding and electronic billing necessary.
• Ability to communicate effectively with various stakeholders.
• Proficient in medical terminology.
• Detail-oriented.