Senior Insurance Collections Representative

USA Clinics Group•Northbrook, IL

1d•Onsite

About The Position

USA Clinics Group is the nation's largest network of outpatient vein, fibroid, vascular, and prostate centers, with over 170 clinics nationwide. Founded by Harvard-trained physicians, the company's mission is to deliver life-changing, minimally invasive care close to home. They are building a culture of innovation, compassion, and accountability and are looking for a detail-oriented and analytical Senior Insurance Collections Representative to join their team. This role will resolve complex and high-dollar claims, denials, appeals, underpayments, and escalations, while also identifying trends, supporting bulk resolution, and mentoring junior collectors.

Requirements

High school diploma or GED.
4+ years of healthcare insurance collections or denial-management experience.
Advanced experience with appeals, payer escalation, medical-necessity denials, high-dollar A/R, and root-cause analysis
Strong ownership, follow-through, documentation, prioritization, and escalation judgment.
Ability to work accurately in a high-volume, deadline-driven healthcare environment.
Ability to identify discrepancies, communicate clearly, and collaborate across departments.
Commitment to privacy, compliance, quality, continuous improvement, and respectful service.

Nice To Haves

Associate’s degree.
CPC, CPB, CRCR, or comparable certification.
Lead, mentoring, multi-specialty, or complex-claims experience.

Responsibilities

Own complex, aged, high-dollar, or escalated accounts through final resolution.
Prepare evidence-based appeals and payer escalations and protect filing deadlines.
Analyze common denial and underpayment patterns and recommend source corrections.
Assist with bulk projects, account sampling, documentation quality, and queue strategy.
Support junior collectors through case review, coaching, and job aids.
Use approved technology and analytics to improve prioritization and recovery.