Insurance Collections Representative II

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

• 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.
• 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.
• 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.

Reacts positively to change and performs other duties as assigned

• High school diploma or GED required.
• 3-5 years high volume collections experience in a corporate setting.
• 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.