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Role Description

The collections representative follows-up with insurance companies to resolve unpaid claims. The anticipated hourly range for this position is $15 to $17 USD hourly. The actual compensation offered may vary based on job-related factors such as experience, skills, education, and location. This is a remote position.

Essential Duties and Responsibilities

• Researches any overdue account balance that is fully or partially unpaid and follows up by mail and/or phone to insurance carriers or customers on delinquent payments.
• Reviews unpaid and underpaid claims. Resubmits or appeals as necessary.
• Verifies payment information adjustments to supervisor.
• Coordinates collection activities for delinquent accounts by preparing information for external collection agencies or attorneys.
• Complies with the Fair Debt Collector Practices Act (FDCPA).
• Responds to customer inquiries regarding account status.
• Researches customer’s accounts thoroughly and documents appropriately.
• Resolves discrepancies and prepares adjustments and refunds as necessary.
• Ensures that all information regarding collection activity of account is entered accurately into the billing system.
• Brings recurring issues to the attention of the department supervisor.
• Initiates payments and resubmits bills as necessary.
• Pursues patient for payment obligations when insurance defaults as permitted by law or contractual relationships.
• Reports to work punctually at assigned starting time, and has reliable, consistent attendance.
• Performs other duties as required.

Supervisory Responsibilities

N/A

Qualifications

• High school diploma is required.
• One year of related experience is required.

Requirements

• Business Acumen
• Problem Solving/Analysis
• Communication Proficiency
• Personal Effectiveness/Credibility
• Computer Skills: Basic skills in Word and Excel
• Language Skills: English (reading, writing, verbal)
• Mathematical Skills: Basic level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data

Physical Demands

This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. Employees in this position must be physically able to efficiently perform the essential functions of the position. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform the essential functions of the position, upon request.

Work Environment

Work is performed in an office setting with exposure to moderate noise.

Travel

Occasional travel as required.

Benefits

• Medical, dental, and vision care coverage
• Paid time off plan
• 401(k) Plan
• Flexible Spending Accounts
• Basic life insurance
• Short-and long-term disability coverage
• Accident insurance
• Teammate Assistance Program
• Paid parental leave
• Domestic partner benefits
• Mental, physical, and financial well-being programs

Other Information

The essential duties and responsibilities, physical requirements, and work environment described above are representative of those typically required for this position but may vary depending on staffing and business needs at specific locations. The inclusion or omission of a specific duty or physical requirement is, therefore, not determinative of whether that function is essential to a specific individual’s position.