Insurance Collections Account Representative

Overview

This position is responsible for enrolling, billing, and administering Special Care Insurance Policies (SCIP) as well as ensuring timely collections on premiums for individuals.

Responsibilities

• Collect payments on past due bills to meet departmental goals.
• 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.
• 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.
• Works closely with power of attorney or state guardianship for payment of individual resident accounts.
• Must have in-depth knowledge and understanding of benefits to improve customer service during collections.
• 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 hybrid, 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.

Qualifications

• Associate’s degree or equivalent preferred.
• 3-5 years high volume collections experience in a medical office.
• 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
• Accounts Receivable knowledge/experience preferred.
• 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.