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Medical Collector – PB
LCMC HealthMedical Collector managing healthcare billing, denials, appeals, and reimbursement for LCMC Health. Reviewing claims, analyzing EOBs, and resolving payment variances with payers.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare billing processes, denial management, and appeals resolution, with a strong focus on compliance with regulations and effective communication with payers. Proven ability to analyze discrepancies and implement improvements in reimbursement practices.
Highest-signal resume keywords
Healthcare BillingDenial ManagementAppeals ResolutionCustomer ServiceTime Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payment ProcessingEOB AnalysisInsurance ProtocolsRegulatory ComplianceSystem ReportingProblem IdentificationChange ImplementationMultitaskingData DocumentationReimbursement Knowledge
Soft Skills
Effective CommunicationCustomer Service Skills
Tools & Technologies
Computer SystemsBilling Software
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
MedicareMedicaidERISA GuidelinesThird-Party ContractingPatient Information Protection
About the role
Key responsibilities & impact- Complete daily follow-up or denial account assignments accurately and timely
- Identify and analyze underpayments, discrepancies, denials, and appeals
- Review posted payments and adjustments for accuracy
- Analyze EOBs to ensure proper reimbursement
- Research, document, track, respond to, and resolve appeals with third-party payers
- Communicate with payers regarding outstanding claims and payment variances
- Document all activity on patient accounts
- Collaborate with internal departments and external organizations to resolve reimbursement and appeals issues
- Monitor underpaid and denied claims for trends and root causes; report findings to the supervisor
- Recommend improvements and communicate trends and issues to management
- Follow best-practice processes in follow-up and customer service
- Participate in staff training related to Medicare/Medicaid requirements and follow-up processes
- Act in accordance with LCMC Health's mission and values and model ethical behavior
- Adhere to federal and state patient-information protection regulations and facility guidelines
Requirements
What you’ll need- Minimum two years of experience in a healthcare environment, particularly healthcare billing, collections, payment processing, or denial management is preferred
- High school diploma or GED required
- Must pass a basic computer skills test and system-level training
- Working knowledge of system reports and ability to analyze system information
- Knowledge of hospital and professional billing processes and reimbursement
- Knowledge of third-party contracting
- Knowledge of insurance protocols, delay tactics, systems, and workflows
- Knowledge of ERISA guidelines for denials and appeals
- Knowledge of regulations related to denials and appeals
- Ability to identify problems, conceptualize resolutions, and implement change
- Efficient time-management skills and ability to multitask under tight deadlines
- Excellent customer service skills
- Effective writing and communication skills
- Strong comfort level with computer systems
- Proof of citizenship or immigration status required to verify lawful right to work in the United States
Benefits
Comp & perks- Full-time employment
- Day shift
- Equal opportunity employment
- Mission-driven healthcare culture focused on authenticity, equity, inclusion, and employee collaboration