Sr Credit & Collections Specialist
Elevance Health•Plano, TX
•Remote
About The Position
The Sr Credit and Collections Specialist is responsible for the timely follow up and resolution of outstanding insurance claims to ensure maximum reimbursement and minimized aging accounts receivable. This role works directly with payers, internal billing teams, and operational departments to resolve claim denials, underpayments, and unpaid balances while maintaining compliance with payer and regulatory guidelines.
Requirements
- Requires a H.S. diploma or equivalent and a minimum of 2 years of commercial debt collection experience; or any combination of education and experience, which would provide an equivalent background.
Nice To Haves
- Preferred specialty Pharmacy and/or home Infusion experience.
- Medicare and commercial insurance knowledge highly recommended.
- Strong understanding of denial management and reimbursement processes with experience in claim submissions, corrected claims and payer follow up desired.
Responsibilities
- Follows established guidelines, contacts group for the purpose of collecting past due insurance premiums and/or past due health insurance claims.
- Researches validity of past due and/or disputed debt.
- Generates demand letters.
- Prepares reports reflecting status of credit and collection activities for management review.
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
