Medical Collector (H)

Medical Collector (H) page is loaded## Medical Collector (H)remote type: Remotelocations: Medley, FLtime type: Full timeposted on: Posted Todayjob requisition id: R100093597Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this .The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Medical Collector to work in Miami, FL. The Medical Collector in the Compromised Settlements Unit serves as the primary liaison between third parties, such as law firms, third party records retrieval companies, patient advocates, and internal departments, including insurance, coding, and other teams. This role primarily processes subpoenas and statutory attorney requests (766 requests) for copies of billing records for accounts involving legal representation. In addition, the Medical Collector coordinates with internal departments to ensure accurate billing, timely follow-up, and resolution of accounts, and applies appropriate account indicators and billing holds while supporting settlement negotiations in compliance with HIPAA regulations and organizational policies.# CORE JOB FUNCTIONS* Serve as the primary liaison between law firms, third party records retrieval companies, patient advocates, and internal departments for accounts involving legal representation, including personal injury (PI), workers' compensation (WC), bankruptcy-related cases, probate accounts requiring Statements of Claim, and billing dispute accounts.* Process subpoenas and 766 requests for copies of billing records, including verifying HIPAA compliance, generating itemized bills from Epic, compiling billing packets, and submitting documentation to third-party law firms.* Handle requests from patient advocates regarding patient accounts, ensuring timely and accurate information while maintaining HIPAA compliance.* Apply billing indicators and billing holds in accordance with organizational policy.* Bill appropriate payers in coordination with the Billing and Collections departments, including PIP, WC, commercial insurance, Medicaid, and Medicare.* Apply account adjustments in accordance with organizational policies and EOBs.* Communicate and follow up with law firms, patient advocates, and internal departments via outbound calls, inbound calls, and email to resolve account and claim issues.* Negotiate settlements in accordance with organizational policy.* Monitor and manage Epic Workqueues (Legal, Bankruptcy, and Probate) for assigned accounts, including following up on case status, insurance claim updates, and correcting or rebilling accounts as necessary.* Meet or exceed established productivity, quality, and compliance metrics, including timeliness of subpoena and 766 request processing, accuracy of billing documentation, and adherence to HIPAA and organizational standards.This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.# CORE QUALIFICATIONS* High School diploma or equivalent required* Minimum 1 year of relevant experience required* Excellent written and verbal communication skills* Knowledge of HIPAA regulations, legal cases, and health insurance billing and collections processes, including familiarity with commercial insurance, PIP, WC, Medicaid, and Medicare* Experience with Epic or similar electronic medical records/billing systems* Proficiency in Microsoft Word, Excel, and PDF documentation* Ability to manage multiple accounts and deadlines effectively* Strong collaboration and communication skills to coordinate with law firms, third party retrieval companies, patient advocates, and internal departments* Ability to meet or exceed performance metrics in a fast-paced, compliance-driven environment.Any relevant education, certifications and/or work experience may be considered.#LI-NN1The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.Job Status:Full timeEmployee Type:StaffThe mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation's top research universities and academic medical centers in the nation.The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit to learn more about our points of pride.The University ranks No. 55 on U.S. News & World Report's 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings.Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019.The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022. J-18808-Ljbffr