Collection Representative Lead

Advocate Health and Hospitals CorporationMilwaukee, WI
Remote

About The Position

This full-time position is responsible for the continued follow-up on all assigned accounts to ensure high cash flow until the account is paid/resolved, work standard is complete, or the account is referred to a collection agency or deemed uncollectable. The role involves contacting patients, employers, insurance companies, and government agencies via telephone or mail to expedite payment. It also requires establishing effective working relationships with patients, collection agencies, vendors, and internal departments to resolve account issues, and handling inquiries and complaints related to the bad debt collection process. The position interprets insurance verification, billing, follow-up, collection, and legal information to resolve patient questions and account issues, and effectively documents all account actions. Responsibilities include handling the accounting of settlement offers, vendor remits, and cash posting issues related to bad debt accounts, and maintaining the lowest possible ratio of bad debt expense write-off. The role also involves maintaining and reconciling records of placements to third-party agencies, reconciling differences, and alerting management to trends in agency or patient billing issues. Additionally, the Collection Representative Lead provides guidance and serves as a resource for personnel, assists teams with complex issues, works with employees to resolve problems, and provides training. They distribute and monitor daily work, assist management with employee guidance, and provide ongoing performance feedback.

Requirements

  • Typically requires 5 years of experience in insurance processing, collections, customer service or legal administration.
  • Demonstrated to work with complex billing issues in a healthcare environment.
  • A broad and comprehensive knowledge base of accounting or credit/collection fundamentals and/or a broad, comprehensive knowledge base and understanding of department-specific billing, cash and insurance follow-up procedures required.
  • Demonstrated proficiency in word-processing and spreadsheet applications required.
  • Advanced knowledge of computerized patient accounting systems required.
  • Excellent analytic, organizational, communication, and writing skills required.
  • Must have the ability to deal with a variety of people under stressful circumstances.
  • Strong leadership skills and excellent human relations skills.

Responsibilities

  • Responsible for continued follow-up on all assigned accounts in order to obtain high cash flow until the account is either paid/resolved, the work standard complete and the account can be referred to a collection agency or is deemed uncollectable.
  • Contacts patients, employer, insurance companies and government agencies either by telephone or mail in order to expedite payment.
  • Establishes effective working relationship with patients, collection agencies, vendors and internal departments to effectively resolve account issues.
  • Handles patient, internal department, third party agency, vendor requests/inquiries and complaints in regards to bad debt collection process.
  • Resolves patient complaints concerning billing and collection functions using good human relations skills and sound credit procedures.
  • Interprets insurance verification, billing, follow-up, collection and legal information provided for each patient account to accurately resolve patient questions and account issues.
  • Effectively documents all accounts in regard to why the account has been opened, process documentation and actions taken to resolve outstanding issues.
  • Handles the accounting of settlement offers, vendor remits, and cash posting issues related to bad debt accounts.
  • Responsible for learning, understanding, and performing actions in all patient billing systems, both past and present, to assure proper handling of all bad debt accounts.
  • Maintains the lowest possible ratio of bad debt expense write-off by employing good collection methods.
  • Maintains and reconciles records of placements to third party agencies.
  • Reconciles differences between bad debt balances and third party records.
  • Watches for trends in agency or patient billing issues and alerts management.
  • Provides guidance and serves as a resource person for personnel.
  • Assists teams with more complex issues, works with employees to resolve problems, and provides necessary training.
  • Distributes and monitors daily work, assists management with employee guidance, and provides ongoing feedback on performance.

Benefits

  • Competitive compensation
  • Generous retirement offerings
  • Programs that invest in your career development
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
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