Credit - Collections Clerk I

MiniMed•San Antonio, TX

1d•Onsite

About The Position

At MiniMed, you can begin a lifelong career of exploration and innovation, while helping make a difference in the lives of people living with diabetes around the globe. You'll lead with purpose, breaking down barriers to innovation for a more connected, compassionate world. Minimed is seeking a Credit - Collections Clerk I, where your eye for accuracy and persistence in follow-through helps patients and keeps our organization financially strong. Numbers matter. Claims matter. And the person who ensures every dollar is properly accounted for? They matter most of all. As a Credit & Collections Clerk I, you'll step into a role where your attention to detail, analytical mindset, and commitment to doing things right directly supports both the financial health of our organization and the experience of the patients we serve. If you're someone who thrives on solving discrepancies, following through on outstanding items, and bringing order to complexity — this is your opportunity.

Requirements

Requires High School Diploma (or equivalent) and 1 -2 years of relevant collections related experience required.
Knowledge Health Maintenance Organization (HMO), Preferred Provider Organization (PPO)
Ability to prioritize, solve problems, and multitask

Nice To Haves

An Associate’s or Bachelor’s degree in a related field
Strong Analytical and Problem Solvig Skills
Microsoft Office Proficiency (Power Point, Excel, etc.)
Strong Attention to Detail
Time Management Skills
Familiarized with deadline driven environments
Ownership
Written and verbal communication skills
Negotiation & Empathy
Experience in a fast-paced collection environment or with collections agencies
Root Cause Analysis (RCA) knowledge

Responsibilities

As an insurance collection following prescribed procedures and performs a variety of tasks using standard healthcare guidelines. Main goal is to follow up collection activities including rebilling, appeals and recovery activities for denied or short paid claims.
Verifies accuracy of statements (patient and payor related) as well as other healthcare financial accounting documentation or records.
Enters data into computer systems using defined computer resources and programs.
Compiles data and prepares a variety of reports.
May reconcile records with PFS team members and leaders; communicate with external vendors and customers (including representatives of health plans/payors.)
Recommends actions to resolve discrepancies; investigates questionable data.
Executes on established departmental objectives and assignments which affect the immediate operation, but that also have full revenue cycle and company-wide fiscal impact.
Initiates follow-up activities with third-party payors regarding open claim balances; makes written and verbal inquiries to payors.
Analyzes and problem solve account issues to full resolution.
Manages internal and external customer/business inquiries regarding account status and account history.
Research issues off-line as needed with payor/patient; conducts follow-up calls with payors and customers, initiating conference calls between insurance carrier and patients to resolve customer concerns.
Research and initiates refund requests due to overpayments by payor and/or patient.
Determines when claims/accounts are deemed uncollectable; recommends and initiates bad debt write-offs procedures.