Credit and Collection Specialist - Patient Accounts
The Credit and Collections Specialist 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.
About the Role
This role is responsible for collection activities related to past due health insurance premiums and/or past due health insurance claims. The Credit and Collections Specialist follows established guidelines, contacts groups for the purpose of collecting past due insurance premiums and/or past due health insurance claims. They research the validity of past due and/or disputed debt, generate demand letters, prepare reports reflecting status of credit and collection activities for management review, and handle follow-up on aged and current patient receivables to reduce outstanding balances and improve cash collections.
Responsibilities
- Follows established guidelines, contacts groups 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.
- Handles 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).
- Communicates respectfully and clearly with patients, including those who are upset or confused.
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.
Qualifications
Minimum qualifications include:
- A H.S. diploma or equivalent.
- At least 1 year of prior commercial debt collection experience.
Skills
Comfortable on the phone; communicates respectfully and clearly with patients, including those who are upset or confused.
Benefits
Not specified.
Pay
Not specified.
Schedule
Not specified.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
Company Information
Elevance Health offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.