Collections Representative

TITLE: Collections Representative
TYPE: Contract
LOCATION: Philadelphia, PA
ONSITE/REMOTE/HYBRID: Onsite
START DATE: April 2025
SHIFT: 8:30 am – 5 pm, M-F

We are seeking a skilled Collections Representative to join our team. This position is essential in ensuring accurate and timely reimbursements from third-party payors for services provided. The ideal candidate will have a strong background in insurance follow-up, accounts receivable collection, and denial management, particularly in the healthcare sector.

MAIN RESPONSIBILITIES

• Review accounts for low payments, denials, or discrepancies and take appropriate actions to resolve issues.
• Assist with audits, special projects, and reconciliations as needed.
• Handle patient accounts and oversee collections, ensuring compliance with contracts and agreements.
• Manage appeals and re-billing processes to maximize reimbursements for services rendered.
• Contact insurance companies and third parties via various communication methods (phone, email, etc.) to facilitate account resolution.
• Ensure all claims and necessary documentation are submitted within required timeframes to prevent filing issues.
• Analyze accounts, identify barriers to timely claim submission and processing, and implement solutions.
• Reconcile credit balances and request refunds as per company policy.
• Investigate and submit write-off allowances and adjustments for approval when justified.
• Interact professionally with co-workers and staff from various departments including registration, billing, and patient access to streamline processes and enhance cooperation.
• Meet production and performance targets while maintaining thorough documentation of all actions taken on accounts.

QUALIFICATIONS

• High school diploma or equivalent, along with three years of experience in healthcare, preferably in physician billing and collections.
• Minimum of 1 year, preferably 5-7 years, in insurance follow-up, accounts receivable, and denial management, especially for commercial and government payors.
• Experience in anesthesia billing is preferred.
• Excellent analytical abilities, strong organizational skills, and the capacity to multitask while meeting deadlines.
• Proficiency with EPIC software is required; certification is preferred.
• Strong knowledge of word processing, electronic mail, and spreadsheet applications, with a high proficiency in Microsoft Excel and comfort in managing large data sets.
• Exceptional phone etiquette and customer service skills.

EOE STATEMENT
We are an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law.

Job Type: Contract

Work Location: In person