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Collections Representative

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Robert Half

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Location:
United States , Philadelphia

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Category:
Finance

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

Robert Half is offering a career building opportunity for a Collections Representative in the Healthcare/NHS industry, located in Philadelphia, Pennsylvania. As a Collections Representative, you will work on ensuring the correct and timely reimbursement from third-party payors for services provided.

Job Responsibility:

  • Manage and resolve accounts in compliance with contracts and agreements, which includes the review, analysis, and identification of possible barriers to correct and timely claim submission and processing
  • Maintain communication with insurance companies and third parties via telephone, letter, fax, or email as necessary and document all actions taken to resolve accounts
  • Review and manage credit balances, submit requests for refunds in accordance with policies or initiate off-sets/retractions of incorrectly paid services when possible
  • Investigate and submit for approval write off allowances and/or adjustments that have reasonable justification in accordance with contracts and policies
  • Handle insurance explanations of benefits that require other activities or reconciliation
  • Ensure that all claim submissions, appeals, and requested information is provided within the required timeframe to avoid filing issues and processing delays
  • Assist with special projects, audits, and reconciliation as necessary
  • Comply with all internal procedures and policies while maintaining a high level of customer service
  • Utilize Microsoft Excel and other analytics tools for data handling and review
  • Transfer accounts when necessary and only after confirming updated registration or eligibility

Requirements:

  • Demonstrated proficiency in Customer Service
  • Proficient in Microsoft Excel
  • Thorough understanding of procedures and policies
  • Strong analytical skills
  • Knowledge of compliance requirements within the healthcare industry
  • Experience in Payment Processing
  • Familiarity with Materials Handling
  • Ability to Review and analyze accounts and financial data
  • Experience with Accounts Receivable (AR)
  • Proficient in Email Correspondence
  • Understanding of insurance policies and claim processes
  • Familiarity with the software 'About Time'
  • Auditing skills, particularly within the healthcare industry
  • Knowledge of Benefit Functions within the healthcare setting
  • Experience in performing financial reconciliations
  • Proficiency in Billing and Collection Processes
  • Understanding of Revenue Accounting in a healthcare context
  • Experience in Claim Administration
  • Familiarity with Filing systems within a healthcare setting
  • Knowledge of Consumer Electronics
  • Ability to make financial adjustments as necessary
  • Familiarity with HealthCare.gov and its functions
  • Experience with document and claim Submission in a healthcare context
What we offer:
  • medical
  • vision
  • dental
  • life and disability insurance
  • eligibility to enroll in company 401(k) plan

Additional Information:

Job Posted:
March 26, 2025

Employment Type:
Fulltime
Work Type:
On-site work
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