Credit & Collections Specialist
Carelon, Lake Mary, FL, United States
Credit & Collections Specialist
Location: This role requires associates to be in-office 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. The ideal candidate will be located near the following Pulsepoint: 3200 Lake Emma Rd, Ste 1000, Lake Mary, FL. The training will be fully on-site. After the first 90 days, eligibility for a hybrid schedule will be determined based on productivity and attendance. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Schedule: This position will work an 8-hour shift from 11:00 am - 8:00 pm (ET), Monday through Friday. Additional hours, including weekends or holidays, may be required based on operational needs. Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey. The Credit & Collections Specialist is responsible for collection activities related to past due health insurance premiums and/or past due health insurance claims. How You Will Make an Impact Primary duties may include, but are not limited to: Responsible for follow-up on aged and current patient receivables to reduce outstanding balances and improve cash collections. Reviews assigned accounts using Excel-based worklists, confirming demographics, guarantor information, and balance accuracy prior to patient outreach. Conducts inbound and outbound calls to patients to provide balance explanations, answer account questions, and request/secure payment. Processes credit/debit payments, posts transactions as required, and documents all collection activity clearly in the account notes. Demonstrates understanding of A/R concepts (aging, denials vs. patient responsibility, payment posting impacts, account status). Comfortable on the phone; communicates respectfully and clearly with patients, including those who are upset or confused. Researches validity of past due accounts and current accounts. Generates patient statements. Prepares reports reflecting status of credit and collection activities for management review. Minimum Requirements: Requires a H.S. diploma or equivalent and a minimum of 1 year of prior commercial debt collection experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Some knowledge of accounts receivable is strongly preferred. Experience in call center environment is a plus. Some knowledge of medical insurance is preferred.
Location: This role requires associates to be in-office 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. The ideal candidate will be located near the following Pulsepoint: 3200 Lake Emma Rd, Ste 1000, Lake Mary, FL. The training will be fully on-site. After the first 90 days, eligibility for a hybrid schedule will be determined based on productivity and attendance. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Schedule: This position will work an 8-hour shift from 11:00 am - 8:00 pm (ET), Monday through Friday. Additional hours, including weekends or holidays, may be required based on operational needs. Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey. The Credit & Collections Specialist is responsible for collection activities related to past due health insurance premiums and/or past due health insurance claims. How You Will Make an Impact Primary duties may include, but are not limited to: Responsible for follow-up on aged and current patient receivables to reduce outstanding balances and improve cash collections. Reviews assigned accounts using Excel-based worklists, confirming demographics, guarantor information, and balance accuracy prior to patient outreach. Conducts inbound and outbound calls to patients to provide balance explanations, answer account questions, and request/secure payment. Processes credit/debit payments, posts transactions as required, and documents all collection activity clearly in the account notes. Demonstrates understanding of A/R concepts (aging, denials vs. patient responsibility, payment posting impacts, account status). Comfortable on the phone; communicates respectfully and clearly with patients, including those who are upset or confused. Researches validity of past due accounts and current accounts. Generates patient statements. Prepares reports reflecting status of credit and collection activities for management review. Minimum Requirements: Requires a H.S. diploma or equivalent and a minimum of 1 year of prior commercial debt collection experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Some knowledge of accounts receivable is strongly preferred. Experience in call center environment is a plus. Some knowledge of medical insurance is preferred.