Position Purpose: The Collection Representative researches, monitors and collects routine aged receivables for delinquent accounts.
Monitors and processes collection correspondence as necessary and in accordance with departmental policy, which may include writing letters to request additional information, and making reminder telephone calls.
Documents in detail all telephone calls, demand letters and other correspondence made in the effort to collect outstanding balances in accordance with policies.
Initiates collection calls, letters and follow up with respect to premium checks that have been returned by bank due to insufficient funds or any claims overpayments that are due.
Reviews reports to validate information. Prepares and sends invoices.
Assists with review of accounts receivable aging and interacts with Accounts Receivable Representatives to resolve billing discrepancies and reconciliations.
Researches and resolves telephone and written inquiries from providers, canceled groups and/or internal inquiries.
Calculates and processes payments; reviews and resolves errors and discrepancies. Contacts appropriate parties when necessary to resolve questions.
May conduct outbound collections calls for accounts that have not responded to mailings.
May evaluate and initiate alternatives for resolving account balance including pulling checks, activating claims for offset, claim reprocessing or referral to a collection agency.
May complete and track manual check requests to refund incorrect payments to providers.
Additional projects, as assigned.
Education/Experience: High school diploma or equivalent required.
One year experience in account reconciliation, claims, payment allocation, and eligibility maintenance required.
Collection experience preferred.
Healthcare or insurance industry experience preferred.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Health Net of California
Centene Corporation Jobs
Website : http://www.centene.com
Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations