Pros: Always something new to learn
In order to support the Government Collectors I had to become proactive in my role.
On a daily basis I review, research and distribute correspondence that is vital to the collection of money for aging CPT codes and can time out due to strict government guidelines. I also ensure that all appeals are sent via electronic fax, email and postal mail per time needed in order to appeal claims. I review documentation to double check the accuracy of names, dates of service and verify that addresses match. I also train new incoming AR Support in the process that I created in order to distribute the incoming mail in a very timely fashion so that other job duties can be completed daily.
In addition to this support I also maintain electronic filing, physical filing and verify when payments are made. When needed I will obtain medical documentation to assist collectors in their daily tasks.
Weekly I support management in running reports that show the progression of AR, creating presentable graphs so that upper level management can see the incoming moneys and how they are affecting the aging of the AR.
Monthly I will run reports showing all self pay and charity write off patients. I will take the patients in multiple states and verify Medicaid eligibility in order to assist in recovering lost funds. In addition monthly I run reports for low short paid CPT codes to do an automated write off to reduce unneeded data in the reporting of AR and verification of Medicaid.
As needed I will assist in the basic computer functions of the collectors such as organizing documentation and utilizing – more... Adobe Basic to do so elctronically, Excel and other various programs. I also ensure all equipment is operational and maintain the equipment requesting service to maintain or when equipment is broken. I also assist the Cash Control department in the needs of collections with the daily correspondence helping to streamline the processes to ensure efficiency and accuracy.
Prior to my current position I had no medical office experience. Learning how money is posted and to understand how each CPT code is paid. I have learned the importance of fee schedules, the changes in the schedules and what is involved in each code which has grown my knowledge of medical collection significantly. There is never a day that I do not learn something in government collections and government replacement collections.
My most challenging part of this role was coming in with prior Accounts Receivable experience, but taking a low level position in order to learn the daily responsibilities of government medical collection. Had I not had an understanding of AR I would not have been able to learn all that I have about the medical collections and claims resolution side of the Medical Collections.
The best part of the job has been that I have never stopped learning. I have learned a great deal about medical billing and claims resolution. It has increased my understanding of how the business side of medical community works. – less