The Collections Representative follows up with insurance companies to resolve unpaid claims. This role involves researching overdue account balances, following up with insurance carriers or customers on delinquent payments, and reviewing unpaid and underpaid claims. The representative will also resubmit or appeal claims as necessary, coordinate collection activities for delinquent accounts, and ensure compliance with the Fair Debt Collector Practices Act (FDCPA). Additionally, the role includes responding to customer inquiries, researching and documenting customer accounts, resolving discrepancies, and preparing adjustments and refunds. Accurate data entry into the billing system is crucial, as is bringing recurring issues to the attention of the supervisor. The representative will also initiate payments, resubmit bills, and pursue patient payment obligations when insurance defaults, as permitted by law or contractual relationships. Punctual attendance and reliable, consistent attendance are required. This position is stationary and requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It may also require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. Employees must be physically able to efficiently perform the essential functions of the position, with reasonable accommodations provided for qualified individuals with disabilities. Work is performed in an office setting with exposure to moderate noise. Occasional travel may be required.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED