Credit and Collection Specialist - Patient Accounts
About The Position
The Credit and Collections Specialist is responsible for collection activities related to past due health insurance premiums and/or past due health insurance claims. 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. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
