Role Description

The Collections Specialist pursues collections on errant healthcare claims made to various healthcare provider entities. This role operates in a department that offers a unique combination of deep healthcare expertise and analytics-powered technology solutions to help clients improve operational efficiency, achieve financial integrity, and generate measurable results.

Key Responsibilities

• Make outbound calls to healthcare medical providers to discuss and collect overpayments due to erroneously billed claims.
• Document collection activity within internal databases detailing notes from calls.
• Conduct regular communication with healthcare insurance clients and providers on aging inventory.
• Send refund request letters to healthcare providers via internal system.
• Update team and management on issues/feedback from calls.
• Ensure compliance with HIPAA regulations and requirements.
• Demonstrate Company's Core Competencies and values held within.

Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.

The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Job Scope

The incumbent adheres to company policies and procedures to facilitate provider collections and inventory management. An incumbent relies on established instructions and procedures, applies basic skills and may develop advanced skills using tools and equipment appropriate for the position. Duties and tasks are standardized and generally contain written instructions, allowing an incumbent to resolve routine questions and problems. Work is subject to defined work output standards and involves high volume claims collections. Work involves direct contact with internal and external customers.

Compensation

The salary range for this position is $42k-45K annually, paid at an hourly rate. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

Qualifications

• High school diploma or GED along with at least two (2) years of medical billing, collections (call center), and customer service experience. Bachelor's degree in a relevant field is preferred.
• Knowledge or experience with medical coding and regulations preferred.
• Computer skills and familiarity with Microsoft Office programs like Outlook, Word, & Excel.
• Self-motivated to ensure individual goals are met or exceeded.
• Ability to prioritize, coordinate, multitask, think outside the box, and be energetic.
• Ability to work independently while maintaining close attention to detail.
• Ability to adapt to a changing environment, manage multiple tasks, and demonstrate outstanding and friendly customer service skills.
• Specifications should support the essential functions identified in the job, assuring compliance with the Americans with Disabilities Act (ADA) and other such employment-related acts.
• Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone.

Benefits

• Medical, dental and vision coverage with low deductible & copay.
• Life insurance.
• Short and long-term disability.
• Paid Parental Leave.
• 401(k) + match.
• Employee Stock Purchase Plan.
• Generous Paid Time Off – accrued based on years of service.
• 10 paid company holidays.
• Tuition reimbursement.
• Flexible Spending Account.
• Employee Assistance Program.
• Summer Hours.
• Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.

EEO Statement

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.

Application Deadline

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.