Medicare Collections Representative

Accendra Health; Salt Lake City (UT); On-site; USD 17,000 - 23,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

401(k) Plan

Flexible Spending Accounts

Life insurance

Disability coverage

Employee assistance program

Job summary

Accendra Health is seeking a Collections Representative to follow up with insurance companies to resolve unpaid claims. The role operates on a Monday–Friday early shift (6:30am–8:30am start time, 8-hour shift) in EST/CST time zones, with an emphasis on accurate billing and customer service.

The position requires a high school diploma and at least one year of related experience, along with strong communication and problem-solving abilities.

Qualifications

• High school diploma is required.
• One year of related experience is required.
• English (reading, writing, verbal).
• Basic level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.

Responsibilities

• Research overdue account balances that are fully or partially unpaid and follow 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.

Education

High school diploma

Tools

Word

Excel

Job description

At 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 Life™.

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/A

MINIMUM 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 programs

#AccendraHealth

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.

At 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 more than 6,000 teammates across a nationwide network of over 250 service locations across our Apria and Byram Healthcare brands, we have the reach and expertise to make home-based care work better for everyone.

If you’re interested in meaningful work with impact, explore our career opportunities ─ from remote-friendly to hybrid and in-person roles ─ and join us in our purpose of Bringing Care To Life™.