Medicare Collections Representative

Accendra Health, Inc.; Northern (KY); Hybrid; USD 25,000 - 35,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

401(k) plan

Flexible Spending Accounts

Life insurance

Short/long-term disability

Teammate Assistance Program

Paid parental leave

Job summary

Accendra Health is seeking a Medicare Collections Representative to follow up with insurance companies and resolve unpaid claims. This remote position operates across US time zones with a Monday–Friday schedule, starting early morning hours and lasting eight hours per day.

Responsibilities include researching overdue accounts, resubmitting or appealing claims, verifying payments, and coordinating with external agencies when needed. Strong communication and problem-solving abilities are essential.

Qualifications

• High school diploma required.
• One year of related experience preferred.
• English reading/writing/verbal proficiency required.

Responsibilities

• Follow up with insurance companies to resolve unpaid claims.
• Review unpaid or underpaid claims and resubmit or appeal as needed.
• Verify payment information and communicate adjustments to supervisor.
• Coordinate collection activities for delinquent accounts with agencies or attorneys.
• Maintain accurate records of collection activity in billing system.
• Respond to customer inquiries about account status and payments.

Skills

Business Acumen

Problem Solving

Communication

Credibility

Education

High School Diploma

Tools

Microsoft Word

Microsoft Excel

Job description

## Medicare Collections RepresentativeApplylocations: Remote - UStime type: Full timeposted on: Posted Todayjob requisition id: REQ\_26\_70348At Accendra Health, we understand that healthcare is complex, and we’re here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials. If you’re interested in meaningful work with impact, explore our career opportunities and join us in our purpose of Bringing Care To LifeTM.The anticipated hourly range for this position is $12.21 - $17.04. The actual compensation offered may vary based on job-related factors such as experience, skills, education, and location.**JOB SUMMARY**The collections representative follows-up with insurance companies to resolve unpaid claims.Shift: ***M-F 6:30am-8:30am Start time – 8 hr. shift*****ESSENTIAL DUTIES AND RESPONSIBILITIES*** Researches any overdue account balance that is fully or partially unpaid and follows up by mail and/or phone to insurance carriers or customers on delinquent payments.* Reviews unpaid and underpaid claims. Resubmits or appeals as necessary.* Verifies payment information adjustments to supervisor.* Coordinates collection activities for delinquent accounts by preparing information for external collection agencies or attorneys.* Complies with the Fair Debt Collector Practices Act (FDCPA).* Responds to customer inquiries regarding account status.* Researches customer’s accounts thoroughly and documents appropriately.* Resolves discrepancies and prepares adjustments and refunds as necessary.* Ensures that all information regarding collection activity of account is entered accurately into the billing system.* Brings recurring issues to the attention of the department supervisor.* Initiates payments and resubmits bills as necessary.* Pursues patient for payment obligations when insurance defaults as permitted by law or contractual relationships.* Report to work punctually at assigned starting time, and have reliable, consistent attendance* Performs other duties as required.**SUPERVISORY RESPONSIBILITIES*** N/AMINIMUM REQUIRED QUALIFICATIONS**Required: Must be in EST or CST time zones****Education and/or Experience*** High school diploma is required.* One year of related experience is required.**Certificates, Licenses, Registrations or Professional Designations*** N/A**SKILLS, KNOWLEDGE AND ABILITIES*** Business Acumen* Problem Solving/Analysis* Communication Proficiency* Personal Effectiveness/Credibility**Computer Skills*** Basic skills in Word and Excel**Language Skills*** English (reading, writing, verbal).**Mathematical Skills*** Basic level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.**Other Skills****PHYSICAL DEMANDS**This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. Employees in this position must be physically able to efficiently perform the essential functions of the position. **Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform the essential functions of the position, upon request.****WORK ENVIRONMENT**Work is performed in an office setting with exposure to moderate noise. **TRAVEL**Occasional travel as required.**OTHER INFORMATION****The essential duties and responsibilities, physical requirements, and work environment described above are representative of those typically required for this position but may vary depending on staffing and business needs at specific locations. The inclusion or omission of a specific duty or physical requirement is, therefore, not determinative of whether that function is essential to a specific individual’s position.****Teammate Benefits**As an Accendra Health employee, you have choices to fit your life. Our comprehensive benefits program is designed to meet you where you are — through all of life’s stages. We’ve got you and your family covered with benefits that support your health, finances, and overall wellness. Our benefits program includes:* Medical, dental, and vision care coverage* Paid time off plan* 401(k) Plan* Flexible Spending Accounts* Basic life insurance* Short-and long-term disability coverage* Accident insurance* Teammate Assistance Program* Paid parental leave* Domestic partner benefits* Mental, physical, and financial well-being programsIf you feel this opportunity could be the next step in your career, we encourage you to apply.Accendra is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.*Note: Accendra is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at our Company via email, the Internet, or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of our Company. No fee will be paid in the event the candidate is hired by our Company as a result of the referral or through other means.*