Medical Collector

Principle Health Systems

Posted 3 months ago

Full Time

Houston, Texas

In Person

Smart Summary

Responsibilities

The Medical Collector is responsible for reviewing patient bills and insurance payments for accuracy while resolving outstanding claims to ensure full reimbursement. They monitor accounts receivable aging reports and collaborate with insurance companies and internal departments to resolve billing issues.

Qualifications

You have a high school diploma or equivalent and at least one year of experience in a similar role within the last three years. You possess strong knowledge of medical/surgical terminology, commercial payer and federal payer guidelines, and are proficient with basic computer skills including internet, email, Excel, and Word.

Must Have Skills for ATS

HIPAA

Excel

Word

Medical terminology

Commercial payer guidelines

Federal payer guidelines

Job Description

Medical Collector

RESPONSIBILITIES

  • Reviews patient bills for accuracy and completeness; obtains missing information
  • Knowledge of commercial insurance, Medicare, and Medicaid rules and guidelines, including HIPAA. Escalate compliance issues to Lead
  • Review insurance payments for accuracy and compliance with contract discounts
  • Resolve outstanding insurance claims and patient balances to ensure timely and full reimbursement for services rendered
  • Work closely with insurance companies, patients, and internal departments to research accounts, resolve billing issues, and maintain accurate account documentation.
  • Monitor accounts receivable aging reports and prioritize collection activities as assigned by the RCM Director and Lead
  • Identify trends in denials or reimbursement issues and report concerns to the Lead
  • Consult Lead, team members, and appropriate resources to solve billing and collection questions and issues
  • Prepare reports and forms as directed and in accordance with established policies as directed by the Lead
  • Document all collection activity accurately within the practice management system

REQUIREMENTS

  • High school diploma or equivalent. 
  • One year of current experience within the last three years in a comparable job
  • Internet, email, Excel, Word, and data entry skills required. 
  • Knowledge of HIPAA regulations; maintains strict confidentiality of patient and client information
  • Ability to work effectively and independently, and with other team members. 
  • Ability to organize and complete work in a timely manner.
  • Knowledge of medical/surgical terminology
  • Knowledge of commercial payer and Federal payer guidelines, regulations, and procedures

WHY YOU'LL LOVE WORKING HERE 

 We believe in supporting our team—both on the job and in life. Full-time employees enjoy a well-rounded benefits package designed to support your health, financial security, and overall well-being.

Principle Health Systems has earned multiple Top Workplaces honors, including national recognition as a Top Workplace in the USA and being named a Top Workplace in the Healthcare Industry for three years in a row—a reflection of our commitment to a positive and rewarding work environment.

OUR BENEFITS INCLUDE: 

  • Comprehensive medical, dental, and vision insurance
  • Company-paid basic life and long-term disability coverage
  • Voluntary benefits, including short-term disability, accident, and critical illness insurance
  • 401(k) retirement plan to help you plan for the future
  • Generous Paid Time Off (15 days annually, accrued bi-weekly)
  • 9 paid company holidays each year
  • On-demand access to earned wages—get paid when you need it
  • Confidential support services for you and your family
  • Mileage reimbursement and shift differentials are available for eligible roles
  • Exclusive employee discounts on fitness memberships, car services, and more!

READY TO MAKE AN IMPACT?

Join a team that values your contribution, supports your growth, and is committed to delivering exceptional patient care. 

If you’re looking for a meaningful career with a company that puts people first, we’d love to hear from you.

We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact hradmin@principlehs.com.


Monday-Friday 8:00AM-5:00PM

Principle Health Systems

At Principle Health Systems, patients are our purpose. We have an incredible team who work to provide care on over six hundred thousand encounters per year. Why work at PHS? We are results driven and patient focused. We live and breathe our core values and are on a mission to become the largest, most trusted, quality-obsessed partner nationwide in mobile diagnostics, ya'll! Our work is demanding, but the results are rewarding. Join our family and apply today if you see yourself working at a company that provides autonomy, encourages your ideas, is goal oriented, and has fun while doing it! Core Values: U - Understand the Mission - R - Respect Everyone - P - Patients are our Purpose H - Happy to Help! S - Step Up! 2024 - Top Places to Work USA Today 2022-24 - Top places to Work - Culture Award 2023-24 - Top Places to work in Healthcare Principle Health Systems is the most trusted partner for mobile laboratory and imaging services focused in long term care.
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