Medicare Collections Representative

ESSENTIAL DUTIES AND 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.
  • Report to work punctually at assigned starting time, and have reliable, consistent attendance
  • Performs other duties as required.

SUPERVISORY RESPONSIBILITIES

  • N/A

MINIMUM REQUIRED QUALIFICATIONS

Required: Must be in EST or CST time zones

Education and/or Experience

  • High school diploma is required.  
  • One year of related experience is required.