Collections Specialist Sr

Overview

The Collections Specialist Sr is responsible for managing a broad range of collection processes related to medical accounts receivable across single or multiple site locations. This role involves proactively working assigned accounts to maximize accurate and timely resolution of credit balances. The position requires strong prioritization, problem-solving, multitasking abilities, and exceptional internal and external customer service skills.

Responsibilities

• Ensure daily accomplishments align with goals for credit balance levels, cash collections, and accounts receivable over 30 days.
• Manage collection efforts with professionalism and persuasiveness.
• Comply with state and federal regulations, including HIPAA and PHI guidelines.
• Arrange debt repayment or establish repayment schedules.
• Document system activities appropriately and notify relevant parties of primary claims requiring resubmission to resolve residual credit issues.
• Interact with third-party collection agencies as needed.
• Schedule, conduct, and record meetings.
• Communicate consistently and professionally with employees, provider community, and third-party administrators.
• Work within specified deadlines and handle stressful situations.
• Work overtime when necessary to meet department goals and objectives.
• Handle provider/plan escalations confidently.
• Assist in system trainings and updates.
• Demonstrate strong organizational and follow-up skills.
• Perform root cause analysis and follow up with analyzing, resolving, and improving internal processes.
• Collaborate with Legal and Finance personnel on aged outstanding balances.
• Provide management with recommendations and concerns.
• Perform other tasks or special projects as requested by management.
• Coordinate with the check unit regarding check handling processes.
• Assist in onboarding new business and training onboarding associates.
• Maintain assigned providers and meet weekly service level agreements (SLAs).
• Manage prompt escalated issues when management is unavailable.
• Utilize system applications including Microsoft Office (Excel, Access, Outlook, Word), Facets, and Microsoft SQL Server.

Requirements

• Associate’s Degree or equivalent required.
• Bachelor’s Degree preferred.
• Minimum of 5 years of experience in claims, recovery, or collections.

Compensation & Benefits

• Flexible work solutions including remote options and hybrid schedules.
• Competitive pay.
• Paid time off and holidays.
• Health insurance coverage for employees and dependents starting Day 1.
• 401(k) retirement savings plan.
• Tuition reimbursement.
• Opportunities for volunteer events.

Location

Headquartered in Newtown Square, Pennsylvania, with options for remote and hybrid work arrangements.