Insurance Account Representative

360care•Louisville, KY

10d•Remote

About The Position

This position is responsible for enrolling, billing, and administering Special Care Insurance Policies (SCIP) as well as ensuring timely collections on premiums for facilities. The role involves collecting payments on past due bills, assisting customers with various service needs, updating records, and reducing delinquency for assigned accounts. The representative will use good judgment to enlist the efforts of account reps, sales, and senior management when necessary to accelerate the collection process. Effective communication and follow-up with the department regarding customer accounts are crucial. The position requires creating, updating, and tracking customers who have not made payments, sending collection letters, and completing weekly and monthly reports on accounts over 60 days. Organization and prioritization of collections based on delinquency severity are essential. The representative will utilize phone, computer, and mail to contact customers, inform them of overdue accounts, review insurance and Medicaid terms, and ensure customer information is correct. Professional and polite communication is expected to reach payment solutions and determine collectability. Adherence to federal and state laws regarding debt collection is mandatory. The role requires the ability to work independently and in a team environment, make account changes as needed for the collections process, and document in notes. Promptly sending terminations to appropriate staff for collection accounts is also a responsibility. Active support and compliance with the compliance program, including training and reporting suspected violations, are expected. Emphasis on customer service in all aspects of operations and maintaining confidentiality of all information, abiding by HIPAA and PHI guidelines, are critical. For remote work, a reliable, nonpublic high-speed internet connection with sufficient bandwidth is expected, and any service interruptions must be immediately reported to the manager. Reacting positively to change and performing other assigned duties are also part of the role.

Requirements

High school diploma or GED required.
3-5 years high volume collections experience in a corporate setting.
Knowledge of medical billing and collection procedures.
Advanced working knowledge of Word, Excel, Outlook, Genelco Group Plus
Strong data entry skills and phone/email etiquette
Excellent interpersonal, oral, and written communication skills.
Must be detail oriented and self-motivated.
Excellent customer service skills.
Ability to problem solve independently and / or a team.
Work alongside team members.
Anticipate needs in a proactive manner to increase satisfaction.
Ability to prioritize and manage multiple responsibilities.
Able to work in a fast-paced environment.
Take ownership of job responsibilities by initiating prompt and appropriate follow up and/or action to problems.
We will only employ those who are legally authorized to work in the United States. Any offer of employment is conditional upon the successful completion of a background investigation and drug screening.

Nice To Haves

Accounts Receivable knowledge/experience preferred.

Responsibilities

Collect payments on past due bills to meet departmental goals.
Assist customers with all areas of service including collection issues, customer refunds, account adjustments, small balance write-off, customer reconciliations, and other adjustments.
Update records based on various reports/mail including offset tracker, deceased reports, faxes, and mail.
Accountable for reducing delinquency for assigned accounts.
Use good judgement to enlist the efforts of account reps, sales, and senior management when necessary to accelerate the collection process.
Must communicate and follow up effectively with department regarding customer accounts on a timely basis.
Create, update and track customers who have not made payments and send collection letters.
Complete weekly and monthly reports to the manager on all accounts over 60 days.
Organize and prioritize collections according to the severity of delinquency.
Utilize phone, computer, and mail to contact customers regarding collections.
Constantly inform customers of overdue accounts and amount currently owed.
Review terms of insurance and Medicaid.
Ensure all customer information is correct, including, but not limited to phone numbers and addresses.
Professional and polite when communicating with customers to reach payment solution and determine if debt can be collected.
Always adhere to federal and state laws dealing with debt collection.
Must be able to work independently and in a team environment.
Make account changes as needed for collections process and document in notes.
Promptly send terminations to appropriate staff as needed for collection accounts.
Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.
Emphasize customer service in all aspects of operations.
Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times.
To work remotely, it is expected you will have a reliable, nonpublic high-speed internet connection with sufficient bandwidth to participate in all work-related activities. Any interruptions in service should be immediately reported to your manager.
Reacts positively to change and performs other duties as assigned.