Account Representative Collections
About The Position
The Account Representative Collector identifies, researches, and secures financial assistance resources to help patients manage out-of-pocket healthcare expenses. The role works with patients, healthcare providers, pharmaceutical manufacturers, charitable foundations, and copay assistance programs to obtain funding support, reduce financial barriers to treatment, and improve access to prescribed therapies. The coordinator advocates for patients by ensuring timely application submission, eligibility verification, and follow-up, while complying with organizational and program guidelines. The position also verifies benefits and reviews patient financial responsibility, educates patients about assistance resources, maintains detailed records, and collaborates with revenue cycle, intake, authorization, pharmacy, and clinical teams to support access to care. It protects patient confidentiality and supports continued access to therapy through follow-up on applications and appeals.
Requirements
- At least 2 years of experience in healthcare or reimbursement, with a focus on copay and foundation research, verification, billing, and collection functions.
- Strong computer skills, including Microsoft Word, Excel, and PowerPoint.
- Exceptional verbal and written communication skills.
- Exceptional interpersonal skills.
- Exceptional organizational and process skills.
- Ability to work well under pressure, meet timelines, and complete assigned projects.
- Exceptional critical-thinking and problem-solving skills.
- Proven performance history in a related field.
- Exceptional attention to detail and demonstrated results.
- Exceptional track record of customer satisfaction.
Nice To Haves
- Experience with coordination of benefits, including patient pay, copay cards, foundations, HMO, PPO, TPA, and state and federal payors.
- Prior work in specialty or home infusion, homecare, or a related field.
Responsibilities
- Research financial assistance opportunities, including manufacturer copay programs, charitable foundations, and grant funding for eligible patients.
- Assess patient eligibility based on insurance coverage, diagnosis, income, and program-specific criteria.
- Complete, submit, and track financial assistance applications accurately and by required deadlines.
- Communicate with patients, caregivers, providers, manufacturers, foundations, and payers to obtain documentation and facilitate funding approvals.
- Monitor foundation and grant availability, funding openings, renewals, and program changes.
- Verify benefits and review patient financial responsibility to identify affordability concerns and appropriate assistance options.
- Maintain accurate documentation of patient interactions, application statuses, approvals, denials, and funding determinations.
- Follow up on pending applications and appeals to support timely resolution and continuation of therapy.
- Educate patients about financial assistance resources, eligibility requirements, and application processes.
- Collaborate with revenue cycle, intake, authorization, pharmacy, and clinical teams to support access to prescribed therapies.
- Comply with organizational policies, payer requirements, program guidelines, and applicable federal and state regulations.
- Generate and maintain reports on assistance program utilization, funding outcomes, and patient support activities.
- Protect patient confidentiality and comply with HIPAA and other privacy regulations.
- Advocate for patients by reducing financial barriers to treatment and supporting uninterrupted access to care.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
