Insurance Account Representative II

Overview

 This position will assist the Director with training and entry level daily operational initiatives.  Additionally, this role will work with the Director on small but impactful projects which will benefit the department and the organization as a whole and they will act as an additional resource for team members. This is a non-supervisory role, and the primary job functions will remain the same. All team members will still report directly to the Director of Premium Revenue Cycle and will surface any issues, concerns, or high-level needs with the Director.

Responsibilities

• Will help make recommendations for areas of improvement with department procedures, systems, and personnel. This is a non-supervisory role, and decisions are at the discretion of the Director.
• Assist with motivating and providing a positive culture.
• Sets the pace of the area and leads by example.
• The lead will be engaged with the Director regularly and will attend weekly stand-up meetings for review of initiatives and issues which need attention.
• Ensures new processes and workflows are adhered to and any changes are at the discretion of the Director.
• Assist Director with all departmental and new hire training.
• May join/ assist Director with interviews for open positions for the department.
• Assist team with department calls and customer service needs.
• 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.
• Consistently delivers excellent customer service.
• 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.
• Actively supports and complies with all components of the Company compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.
• Maintains confidentiality of all information; always abides with HIPAA and PHI guidelines.
• Reacts positively to change and performs other duties as assigned.

Qualifications

• High school diploma or equivalent.
• 3-5 years administrative and data entry experience.
• 1 -3 years’ experience with Medicaid offsets.
• Advance working knowledge of Word, Excel, Microsoft Outlook, Genelco Group Plus.
• Strong data entry skills and phone / email etiquette.
• Must have excellent organizational, analytical, and problem-solving skills.
• Exhibits strong customer service and follow-up skills.
• Must be able to work in a fast-paced environment with a strong sense of urgency.
• Must have a positive attitude and be flexible to change.