Insurance Collections Specialist

Position Overview: Join our team as an Insurance Collections Specialist, where you'll play a pivotal role in the enrollment, billing, and management of Special Care Insurance Policies (SCIP). This position is vital for ensuring timely collections on premium payments from our partner facilities. Key Responsibilities: Proactively collect payments on overdue accounts to meet and exceed departmental goals. Deliver outstanding customer service by resolving collection issues, processing refunds, adjusting accounts, and managing small balance write-offs. Maintain accurate customer records by updating based on reports and correspondence. Work to significantly reduce delinquency rates for assigned accounts through strategic follow-up. Coordinate efforts with account representatives, sales, and management to streamline the collections process. Communicate effectively with team members about customer accounts for seamless operations. Draft and dispatch collection letters to clients with outstanding balances and monitor their responses. Compile and present weekly and monthly reports to management highlighting all accounts over 60 days past due. Prioritize collections efforts based on the severity of delinquency to enhance recovery outcomes. Engage with customers through phone, email, and mail, providing timely reminders about overdue payments. Review insurance terms and Medicaid guidelines to ensure compliance at all times. Keep customer contact information accurate and current. Maintain a professional demeanor while facilitating payment solutions with customers. Adhere strictly to federal and state debt collection laws in all interactions. Collaborate effectively within a team while also being capable of working independently. Thoroughly document account changes and all interactions for record-keeping. Timely notify relevant team members of any necessary account terminations for collections. Actively engage with compliance programs, including training and reporting any potential violations. Exemplify exceptional customer service across all functions. Protect the confidentiality of all sensitive information in adherence to HIPAA and PHI guidelines. Maintain a reliable, high-speed internet connection for remote work duties and promptly report any service interruptions to your manager. Embrace changes positively and fulfill any other assigned duties as required. Qualifications: High school diploma or GED required. 3-5 years of high-volume collections experience in a corporate environment. Essential familiarity with medical billing and collection procedures. Proficient in Microsoft Word, Excel, Outlook, and Genelco Group Plus. Strong data entry abilities and excellent communication skills via phone and email. Knowledge of accounts receivable processes is advantageous. Exceptional interpersonal and communication skills, both verbally and in writing. Detail-oriented, self-motivated, and adept at independent problem-solving. Outstanding customer service skills with a proactive approach to anticipating needs. Able to prioritize multiple tasks in a fast-paced environment. Take ownership of responsibilities and act promptly to resolve issues. We are dedicated to hiring individuals authorized to work in the United States. Any job offer will be contingent upon successful completion of a background check and drug screening.

Created: 2026-03-04