Job Details

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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.

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The 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 time

Employee Type:
Staff