Pharmacy Collections Specialist

Overview

A well-established insurance services organization is seeking a Pharmacy Collections Specialist to manage patient account payments and resolve past-due balances. This role involves monitoring accounts receivable, contacting customers regarding overdue payments, and maintaining accurate records of collections activities.

Responsibilities

• Monitor accounts receivable and identify overdue accounts
• Contact customers to collect overdue amounts or negotiate payment plans
• Use credit bureau data, postal information, internet searches, and other tools to locate customers who have moved or changed contact information
• Maintain detailed records of contacts and payments collected
• Resolve billing issues and escalate to supervisors when necessary
• Submit regular reports on unpaid accounts and repayment progress
• Communicate insurance changes and accounts receivable trends to the team
• Maintain productivity standards for the department
• Respond to inquiries from patients, clerical staff, and insurance companies
• Participate in educational activities and staff meetings
• Adhere to HIPAA guidelines and maintain strict confidentiality
• Perform other duties as assigned

Requirements

• Pharmacy Technician Certification required
• Indiana and Pennsylvania State Pharmacy Technician licenses required
• Minimum of 1 year experience in medical billing and collections preferred
• Knowledge of basic medical coding and third-party procedures preferred
• Familiarity with business office procedures
• Proficiency in reading, writing, and speaking English
• Ability to operate computers, software, and multi-line telephone systems
• Strong communication skills and ability to maintain effective working relationships
• Ability to follow oral and written instructions

Physical Requirements

• Work performed indoors with potential exposure to home office environment hazards
• Occasional travel to other office and operational sites may be required
• Prolonged periods of sitting and computer use

Compensation & Benefits

• This position does not have budget or financial authority responsibilities

Location

• Position may involve working from a home office environment with potential travel to other sites

Note: This job description outlines the general nature and level of work expected. It is not an exhaustive list of all duties and responsibilities.