Credit & Collection Officer

JOB SUMMARY

The Credit Collections Officer is responsible for the overall management of receivables within their portfolio. This role requires a comprehensive understanding of credit control practices, healthcare billing, and collections regulations. The Credit Collections Officer will collaborate with internal and external stakeholders while maintaining positive customer relationships.

ESSENTIAL FUNCTIONS

Management of receivables, including insurance claims, patient accounts, and self-pay accounts, within the assigned portfolio. Contacting patients and informing them of their outstanding balances. Sending out patient billing in a timely and accurate manner to minimize denials and reduce outstanding balances. Complete assigned workloads, reach performance targets, and complete regular performance evaluations.

Follow credit collection policies and procedures. Follow compliance with credit policies and regulations. Coordinate with other departments, such as Patient Refunds Corporate Finance, to address credit related issues and resolve disputes. Engage in negotiations with patients, insurance companies, and other stakeholders to secure payment arrangements and settlements.

Escalate unresolved issues or high-risk accounts to the Credit Collections Manager or Director. Maintain positive relationships with patients, insurance companies, and other external stakeholders. Address escalated customer inquiries and concerns in a professional and customer-focused manner. Collaborate with other departments to ensure a coordinated approach to resolving customer issues and improving customer satisfaction.

Ensure compliance with healthcare billing and collections regulations, including HIPAA and relevant industry standards. Prepare and analyze reports on collection performance, aging accounts, and key metrics.