Credit & Collections Specialist
Elevance Health, Lake Mary, FL, United States
Credit & Collections Specialist
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. 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. 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. 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. 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. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ehjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.
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. 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. 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. 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. 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. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ehjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.