Credit and Collection Specialist - Patient Accounts

Credit and Collection Specialist - Patient Accounts

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

The Credit and Collections Specialist is responsible for collection activities related to past due health insurance premiums and/or past due health insurance claims.

How You'll Make a Difference:

• 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.
• Responsible for follow-up on aged and current patient receivables to reduce outstanding balances and improve cash collections.
• Reviews assigned accounts using Excel-based worklists, confirming demographics, guarantor information, and balance accuracy prior to patient outreach.
• Conducts inbound and outbound calls to patients to provide balance explanations, answer account questions, and request/secure payment.
• Processes credit/debit payments, posts transactions as required, and documents all collection activity clearly in the account notes.
• Demonstrates understanding of A/R concepts (aging, denials vs. patient responsibility, payment posting impacts, account status).
• Comfortable on the phone; communicates respectfully and clearly with patients, including those who are upset or confused.

Minimum Requirements:

• Requires a H.S. diploma or equivalent and a minimum of 1 year of prior commercial debt collection experience; or any combination of education and experience, which would provide an equivalent background.

Job Level: Non-Management Non-Exempt

Workshift: Job Family: AFA > Financial Operations