Senior Insurance Collections Representative

USA Clinics Group•Northbrook, IL

2d•$23 - $29•Onsite

About The Position

We are seeking a detail-oriented and analytical Senior Insurance Collections Representative. This position resolves complex and high-dollar claims, denials, appeals, underpayments, and escalations while 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.