Medicare Collections Representative

At Accendra Health, we understand that healthcare is complex, and we’re here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials.

About the role

The collections representative follows up with insurance companies to resolve unpaid claims.

The anticipated hourly range for this position is $12.21 - $17.04. The actual compensation offered may vary based on job-related factors such as experience, skills, education, and location.

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.

Requirements

• Must be in EST or CST time zones.
• High school diploma is required.
• One year of related experience is required.

Skills

• 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.
• 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.
• 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

Schedule

Shift: Monday - Friday, 6:30 AM - 8:30 AM start time (8-hour shift).