Credit and Collection Specialist - Patient Accounts

Elevance Health • Lake Mary, FL

5d • Hybrid

About The Position

This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. This position must be able to go into our office in Lake Mary's office 3200 Lake Emma Road 1-2 days a week. The Credit and Collections Specialist is responsible for collection activities related to past due health insurance premiums and/or past due health insurance claims.

Requirements

• Requires a H.S. diploma or equivalent and a minimum of 1 year of prior commercial debt collection experience; or any combination of education and experience, which would provide an equivalent background.

Responsibilities

• Follows established guidelines, contacts group for the purpose of collecting past due insurance premiums and/or past due health insurance claims.
• Researches validity of past due and/or disputed debt.
• Generates demand letters.
• Prepares reports reflecting status of credit and collection activities for management review.
• Responsible for follow-up on aged and current patient receivables to reduce outstanding balances and improve cash collections.
• Reviews assigned accounts using Excel-based worklists, confirming demographics, guarantor information, and balance accuracy prior to patient outreach.
• Conducts inbound and outbound calls to patients to provide balance explanations, answer account questions, and request/secure payment.
• Processes credit/debit payments, posts transactions as required, and documents all collection activity clearly in the account notes.
• Demonstrates understanding of A/R concepts (aging, denials vs. patient responsibility, payment posting impacts, account status).
• Comfortable on the phone; communicates respectfully and clearly with patients, including those who are upset or confused.

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs
• medical
• dental
• vision
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED