Credit - Collections Clerk I

MiniMed•San Antonio, TX

9d•$30,000 - $52,000•Onsite

About The Position

MiniMed is seeking a Credit - Collections Clerk I to support insurance collections and the organization’s financial health while helping provide a positive patient experience. The role follows prescribed procedures and standard healthcare guidelines to pursue denied or short-paid claims through rebilling, appeals, and recovery activities. It also verifies the accuracy of patient- and payor-related statements and other healthcare financial records, enters data into computer systems, compiles data, and prepares reports. The clerk may reconcile records with Patient Financial Services (PFS) team members and leaders, communicate with vendors, customers, and health-plan representatives, and investigate questionable data or recommend actions to resolve discrepancies. The position carries out established departmental objectives and assignments with effects on immediate operations, the revenue cycle, and company-wide fiscal outcomes. It involves follow-up on open claim balances, analysis and resolution of account issues, management of account-status and account-history inquiries, research and follow-up with payors and patients, processing refund requests for overpayments, and recommending or initiating procedures for accounts deemed uncollectable. The position is full-time, scheduled five days a week for 40 hours per week, with a flexible work arrangement, and is on-site in San Antonio, Texas.

Requirements

High school diploma or equivalent.
1–2 years of relevant collections and/or customer service experience.
Knowledge of Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO).
Ability to prioritize, solve problems, and multitask.

Nice To Haves

Basic knowledge and understanding of insurance processes, terminology, and requirements.
Associate’s or bachelor’s degree in a related field.
Strong analytical and problem-solving skills.
Proficiency with Microsoft Office, including PowerPoint and Excel.
Ownership, negotiation, and empathy.
Strong attention to detail.
Time-management skills.
Written and verbal communication skills.
Knowledge of root cause analysis (RCA).
Familiarity with deadline-driven environments.
Experience in a fast-paced collections environment or with collections agencies.

Responsibilities

Follow up with third-party payors regarding open claim balances, including making written and verbal inquiries.
Analyze and resolve account issues.
Manage internal and external customer and business inquiries about account status and history.
Research issues with payors or patients and conduct follow-up calls; initiate conference calls between insurance carriers and patients to resolve concerns.
Research and initiate refund requests for payor or patient overpayments.
Determine when claims or accounts are uncollectable and recommend and initiate bad-debt write-off procedures.
Pursue collection activities for denied or short-paid claims, including rebilling, appeals, and recovery activities.
Verify the accuracy of patient- and payor-related statements and other healthcare financial accounting documentation or records.
Enter data into computer systems using defined resources and programs; compile data and prepare reports.
Reconcile records with PFS team members and leaders as needed.
Communicate with external vendors and customers, including health-plan and payor representatives.
Investigate questionable data and recommend actions to resolve discrepancies.
Carry out established departmental objectives and assignments.

Benefits

Competitive salary and flexible benefits package.
Health insurance.
Dental insurance.
Vision insurance.
Health Savings Account access.
Healthcare Flexible Spending Account.
Life insurance.
Long-term disability leave.
Dependent daycare spending account.
Incentive plans, including eligibility for the Short Term Incentive (STI).
401(k) plan with company match.
Short-term disability coverage.
Paid time off and holidays.
Employee Stock Purchase Plan.
Employee Assistance Program.
Eligible employees may have access to a Non-qualified Retirement Plan Supplement and Capital Accumulation Plan, subject to IRS minimum earnings requirements.