Credit & Collections Specialist

Credit & Collections Specialist

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.

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

Hours: 11:00am -8:00pm EST M-F

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: 3rd Shift (United States of America)

Job Family: AFA > Financial Operations