Accounts Receivable Collector – Insurance Follow Up

Role Overview

• Perform follow-up on aged accounts receivable to ensure timely resolution of balances
• Review and analyze payer denials, identify trends, and take corrective action as needed
• Conduct thorough reviews of patient accounts during the follow-up process to ensure accuracy and completeness of billing
• Submit accurate and complete claims to insurance companies within one (1) business day of creation
• Track and follow up on outstanding claims within 14 days of submission and at regular intervals thereafter until resolution
• Communicate with patients regarding outstanding balances and establish payment arrangements when appropriate
• Follow up on patient account balances within 30 days of statement mailing and regularly thereafter until resolution
• Maintain accurate and up-to-date collection notes in the electronic system in compliance with organizational policies
• Provide regular updates to the Revenue Cycle Operations Manager and other stakeholders regarding account activity and escalations
• Serve as a professional point of contact for internal and external stakeholders, including insurance companies, patients, and third-party vendors
• Escalate unresolved or complex issues to the appropriate supervisor in a timely manner
• Adhere to the provisions of 42 CFR Part 2 (Confidentiality of Alcohol and Drug Abuse Patient Records) and 45 CFR (HIPAA)
• Ensure all credit information and patient account details remain confidential
• Provide courteous and professional assistance to patients, families, and payer representatives
• Foster positive working relationships with colleagues, managers, and external contacts
• Review and recommend accounts for outside collection when necessary
• Participate in training and professional development activities as required
• Perform other duties as assigned to support the team and organizational goals

Requirements

• High school diploma or GED equivalent required
• Minimum of one (1) year of experience in healthcare billing and collections, including working knowledge of payer requirements, insurance denials, and electronic health record systems
• Proficiency in typing (minimum 50 wpm) and data entry with high accuracy
• Strong organizational and time management skills
• Effective communication skills, both verbal and written
• Ability to work independently with minimal supervision
• Familiarity with billing software, electronic claims submission, and Microsoft Office Suite
• Ability to sit for extended periods (up to 7 hours per 8-hour shift) and to see and hear with or without correction
• If applicable, two years of continuous, verifiable abstinence for individuals in recovery

Benefits

• Medical Coverage – Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits.
• Expanded Coverage – Options for domestic partners and a wider network of in-network providers.
• Mental Health Support – Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching.
• Voluntary Coverages – Pet insurance, home and auto insurance, family legal services, and more.
• Student Loan Repayment – Available for nurses and therapists.
• Retirement Benefits – 401(k) plan through Voya to help employees plan for the future.
• Generous PTO – A robust paid time off policy to support work-life balance.
• Voluntary Benefits for Part-Time Employees – Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week.