Collection Representative

Advocate Health and Hospitals Corporation • Charlotte, NC

23h • Remote

About The Position

The Collection Representative is responsible for the continued follow-up on all assigned accounts to ensure high cash flow until the account is paid/resolved, the work standard is complete, and the account can be referred to a collection agency or is deemed uncollectable. This role involves contacting patients, employers, insurance companies, and government agencies via telephone or mail to expedite payment. The representative will establish effective working relationships with patients, collection agencies, vendors, and internal departments to resolve account issues, and handle inquiries and complaints regarding the bad debt collection process. They will interpret insurance verification, billing, follow-up, collection, and legal information to resolve patient questions and account issues, and meticulously document all account actions. The role also includes handling the accounting of settlement offers, vendor remits, and cash posting issues related to bad debt accounts, and learning all patient billing systems to ensure proper handling of bad debt accounts. A key objective is to maintain the lowest possible ratio of bad debt expense write-off through effective collection methods, and to reconcile records of placements to third-party agencies, as well as differences between bad debt balances and third-party records. The representative will also monitor trends in agency or patient billing issues and report them to management.

Requirements

• High School Graduate.
• Typically requires 2 years of experience in insurance processing, collections, or customer service.
• Proficiency in Microsoft Office Suite, as well as the ability to quickly learn new systems and processes.
• Excellent oral and written communications skills.
• Proven negotiation skills.
• Ability to quickly review information and make decisions.
• Flexibility to work special projects and new job assignments as business needs dictate.
• Medical insurance billing, account, and/or legal process knowledge.

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.

Benefits

• Comprehensive suite of Total Rewards: benefits and well-being programs
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees