Credit & Collection Specialist

Elevance Health • Lake Mary, FL

1d • Onsite

About The Position

The Credit & Collections Specialist is responsible for collection activities related to past due health insurance premiums and/or past due health insurance claims. This role is with BioPlus Specialty Pharmacy, a proud member of the Elevance Health family of companies. BioPlus aims to offer consumers and providers an unparalleled level of service that’s easy and focused on whole health, leveraging distinct clinical expertise, digital capabilities, and broad access to specialty medications. The goal is to deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey. Elevance Health, a Fortune 25 company, is dedicated to improving lives and communities, making healthcare simpler, and transforming into a lifetime trusted health partner.

Requirements

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

Nice To Haves

• Some knowledge of accounts receivable is strongly preferred.
• Experience in call center environment is a plus.
• Some knowledge of medical insurance is preferred.

Responsibilities

• 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.
• Researches validity of past due accounts and current accounts.
• Generates patient statements.
• Prepares reports reflecting status of credit and collection activities for management review.

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs (unless covered by a collective bargaining agreement)
• 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: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees