Sr. Collections Representative

QUEST DIAGNOSTICS INC; Irving (TX); On-site; USD 42,000 - 48,000; Full time

Benefits offered by this job

Health insurance

401(k) match

Vacation and paid time off

Education assistance

Employee stock purchase plan

Job summary

Quest Diagnostics is seeking a Sr. Collections Representative to manage Third-Party AR and work on denials. This role operates Monday through Friday, 8:00 AM to 5:00 PM CST in Irving, Texas. The position offers a starting pay of $21+ per hour, with potential annual bonus eligibility based on performance.

You will contact insurers, resolve issues, ensure HIPAA compliance, and strive to meet daily production and quality targets while handling refunds and escalations as needed.

Qualifications

• High School Diploma or GED required.
• Must be 18 years of age or older.
• Proficient in Microsoft Excel with ability to create/modify spreadsheets.
• Availability to work Monday–Friday 8:00 AM–5:00 PM CST.

Responsibilities

• Manage Third-Party AR by analyzing denied and un-responded claims.
• Outbound calls to insurance carriers to appeal and check claims status.
• Coordinate with insurance carriers to reconcile/resolve issues.
• Familiar with explanation of benefits.
• Maintain HIPAA compliance.
• Meet or exceed daily production standards by maintaining the work list according to metrics.
• Meet or exceed daily quality standards.
• Process insurance/patient refunds and adjustments.
• Respond to emails regarding AR issues in a timely manner.
• Research payors and inform of updates to medical policies/bulletins.
• Review billing requirements and denial trends with payors.

Skills

Microsoft Excel

Education

High School Diploma / GED

Tools

Excel

Job description

Job Description

Sr. Collections Representative - Monday to Friday, Between 8:00 AM to 5:00 PMCentral

Pay range: $21+ per hour

Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits information:

We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:

• Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours
• Best-in-class well-being programs
• Annual, no-cost health assessment program Blueprint for Wellness®
• healthyMINDS mental health program
• Vacation and Health/Flex Time
• 6 Holidays plus 1 'MyDay' off
• FinFit financial coaching and services
• 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
• Employee stock purchase plan
• Life and disability insurance, plus buy-up option
• Flexible Spending Accounts
• Matching gifts program
• Education assistance through MyQuest for Education
• Career advancement opportunities
• and so much more!

Responsibilities:

• Responsible for managing Third - Party AR by analyzing denied and un-responded claims
• Outbound calls to insurance carriers to appeal and check claims status
• Coordinate with insurance carriers to reconcile/resolve any issues
• Familiar with explanation of benefits
• Always Maintain Compliance and HIPAA standards
• Meet or exceed daily production standards by maintaining work list according to metrics
• Meet or exceed daily quality standards
• Perform other duties and functions as assigned
• Process insurance/patient refunds and adjustments
• Evaluate and respond to all emails request for any AR issues to resolve in a timely matter
• Researching Payors and informing of any updates to medical policies/bulletins
• Review billing requirements, and analysis of denial trends with payors, etc. denial trends with payors, etc.

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• Ability to create and modify spreadsheets within Microsoft Excel
• Ability to work between the hours: Monday – Friday 8:00AM – 5:00PM CST

Preferred Qualifications:

• Medical Billing experience
• Familiar with explanation of benefits and appeals

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to navigate on internet for researching purposes
• Problem solving, organization and interpersonal skills
• Ability to work independently and as part of a team
• Communication skills, both verbal and written

Soft Skills:

• Ability to navigate on internet for researching purposes
• Problem solving, organization and interpersonal skills
• Ability to work independently and as part of a team
• Communication skills, both verbal and written

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Quest Diagnostics honors our service members and encourages veterans to apply.

While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.