Senior Provider Accounts Receivable - Collections Analyst
The Senior Collections Analyst collaboratively interacts with department management regarding goals, special projects and general information sharing that facilitates a smoothly operating department.
- Manage and/or approve daily tasks that include financial adjustments, disputed claims analysis, and account reconciliations.
- Manage letter generation process to providers and ensure accuracy and timeliness.
- Responsible for identifying process improvement opportunities that can enhance quality and efficiency without sacrificing service.
- Act as a liaison between the Provider AR team, Claims team, and Accounting teams.
- Working directly with third-party collections agencies to drive results for uncollectible AR.
- Directly interact with providers via phone and email to resolve payment disputes.
- Lead the development and preparation of departmental reporting metrics and analytics.
- Generate and distribute reporting to direct management and executive leadership.
- Create and maintain desk level procedure documents.
- Responsible for sharing information across the team and other business areas to reduce overall financial risk.
- Document / prioritize system limitations and coordinate with Highmark (or other vendors) / BTS to identify a technical solution or automation opportunity.
- Self-sufficient in handling escalated interactions with external clients or internal executive leadership.
- Directly represent the AR team and Independence in all internal/ external meetings which may include off-site visits.
- Bachelor’s degree in finance/accounting or business related field is a plus.
- 3-5 years’ experience in the healthcare or health insurance industry.
- Claims and AR management experience strongly desired.
- Understanding of claims adjudication and payment is a plus.
- Demonstrated success in working in a team environment comprised of various levels of talent, experience and motivation. Able to lead/assist their team in achieving department goals.
- Strong technical ability required to employ and manipulate systems to generate needed reporting, as well as to view team results.
- Must possess the ability to interface with internal and external customers at various levels.
- Willingness to work in a fast-paced, challenging environment.
- Demonstrates willingness to step outside normal business tasks to improve processes and reduce financial risk
- Ability to organize and prioritize workload depending on deadlines and client/company impact. Able to make assessments throughout the day to determine how best to meet daily/monthly department and divisional goals.
- Strongly detail-oriented.
- Ability to effectively communicate with senior management, supervisors, peers and clients.
- Proficient in Microsoft application with emphasis on Excel.
- Proven process improvement methodology and driving change management.
- Experience in completing and reviewing financial reporting.
- Customer Focused.
Diversity, Equity, and Inclusion
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
Vaccination Update
This job requires that you demonstrate you have been fully vaccinated for COVID-19 prior to the start of employment, to the extent permitted by law.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.