Credit & Collections Specialist
About The Position
Credit & Collections Specialist BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey. The Credit & 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.
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
- We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and 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 and financial education resources, to name a few.
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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
