Medical Collector/Biller

Integrated ENT, Allergy and Immunology; Syosset (NY); On-site; USD 50,000 - 60,000; Full time

Benefits offered by this job

401(k)

Competitive salary

Dental insurance

Health insurance

Paid time off

Vision insurance

Opportunity for advancement

Job summary

Integrated ENT Allergy & Immunology in Woodbury, NY is seeking a motivated Medical Collector to join our Revenue Cycle team. You will manage outstanding insurance and patient accounts, resolve billing discrepancies, and file claim appeals to ensure timely reimbursement.

The role requires strong analytical, communication, and problem-solving skills, with a focus on accuracy, HIPAA compliance, and delivering exceptional customer service.

Qualifications

• Associate degree preferred or equivalent combination of education and experience.
• Experience in medical collections, medical billing, accounts receivable, or healthcare revenue cycle operations preferred.
• Knowledge of Medicare, Medicaid, and commercial insurance plans and claims processing.
• Basic proficiency with EMR systems, billing software, and MS Office applications.
• Strong understanding of insurance billing procedures, collections processes, and reimbursement practices.
• Ability to interpret EOBs and insurance remittance advice.
• Excellent organizational skills with the ability to manage multiple priorities simultaneously.

Responsibilities

• Monitor and follow up on outstanding insurance claims and patient balances to ensure timely reimbursement.
• Contact insurance carriers regarding claim status, delays, denials, underpayments, and discrepancies.
• Research, investigate, and resolve denied or underpaid claims per payer guidelines.
• Prepare and submit claim appeals with supporting documentation.
• Review EOBs, remittance advice, and payer correspondence to resolve issues.
• Communicate with patients regarding balances, coverage, and payment responsibilities.
• Establish payment arrangements with patients per policy.
• Document all collection activities and updates within the billing system.
• Collaborate with Medical Billers, providers, and staff to resolve discrepancies and improve reimbursement outcomes.
• Maintain assigned accounts and meet productivity and collection goals.
• Identify billing trends and recurring payer issues and report to leadership.
• Ensure HIPAA and regulatory compliance.

Skills

Communication skills

Customer service

Analytical skills

Attention to detail

Time management

Independent work

Team collaboration

Negotiation

Problem-solving

Education

Associate degree or equivalent

Tools

EMR systems

Billing software

Microsoft Office

Job description

Benefits

• 401(k)
• Competitive salary
• Dental insurance
• Health insurance
• Opportunity for advancement
• Paid time off
• Vision insurance

Location: 113 Crossways park drive, Woodbury NY
Job Type: Full-Time
Compensation: $50,000–$60,000 per year

Position Summary

Integrated ENT Allergy & Immunology is seeking a motivated, detail-oriented Medical Collector to join our Revenue Cycle team. The Medical Collector is responsible for managing outstanding insurance and patient accounts, resolving billing discrepancies, appealing denied claims, and ensuring timely reimbursement while delivering exceptional Customer Service. The ideal candidate possesses strong analytical, communication, and Problem-solving skills and thrives in a fast-paced healthcare environment.

Key Responsibilities

• Monitor and follow up on outstanding insurance claims and patient account balances to ensure timely reimbursement.
• Contact insurance carriers regarding claim status, payment delays, denials, underpayments, and reimbursement discrepancies.
• Research, investigate, and resolve denied, rejected, or underpaid claims in accordance with payer guidelines.
• Prepare and submit claim appeals with all required supporting documentation.
• Review Explanation of Benefits (EOBs), remittance advice, and payer correspondence to identify and resolve payment issues.
• Communicate professionally with patients regarding outstanding balances, insurance coverage, and payment responsibilities.
• Establish payment arrangements with patients in accordance with company policies.
• Accurately document all collection activities, communications, and account updates within the billing system.
• Collaborate with Medical Billers, providers, and administrative staff to resolve account discrepancies and improve reimbursement outcomes.
• Maintain assigned accounts with receivable work queues while meeting productivity and collection goals.
• Identify billing trends and recurring payer issues and communicate findings to leadership.
• Ensure compliance with HIPAA, federal and state regulations, payer requirements, and company policies.
• Maintain strict confidentiality of all patients, financial, and organizational information.
• Perform additional revenue cycle and collection of duties assigned.

Required Qualifications

• Associate degree in Business Administration, Healthcare Administration, Accounting, or a related field preferred, or an equivalent combination of education and experience.
• Previous experience in medical collections, medical billing, accounts receivable, or healthcare revenue cycle operations preferred.
• Knowledge of Medicare, Medicaid, commercial insurance plans, and medical claims processing.
• Basic proficiency with electronic medical record (EMR) systems, billing software, and Microsoft Office applications.
• Strong understanding of insurance billing procedures, collections processes, and Reimbursement practices.
• Ability to interpret Explanation of Benefits (EOBs) and insurance remittance advice.
• Excellent organizational skills with the ability to manage multiple priorities simultaneously.

Knowledge, Skills & Competencies

• Strong verbal and written communication skills.
• Exceptional customer service and interpersonal skills.
• Excellent analytical and problem-solving abilities.
• High level of accuracy and attention to detail.
• Ability to prioritize tasks and meet deadlines in a fast-paced healthcare environment.
• Ability to work independently while contributing effectively as part of a collaborative Team.
• Professional judgment when handling confidential patient and financial information.
• Strong negotiation and conflict-resolution skills.
• Commitment to providing outstanding service while maintaining professionalism and empathy during patient interactions.