Collections Analyst

Summary

Independence Blue Cross is a health care organization focused on enhancing the health and well-being of the people and communities it serves. The Collections Analyst manages provider and subscriber claim overpayment recoveries, investigates disputed claims, performs reconciliations, and works with collections agencies and stakeholders to resolve payment disputes. The role also supports reporting, process improvement, documentation, and automation initiatives to reduce accounts receivable and financial risk.

Responsibilities

• Collaborative interaction with department management regarding goals and objectives, special projects and general information sharing that leads to an effective and efficient operating department
• Complete daily tasks that include financial adjustments, investigations on disputed claims overpayments, analyze provider data and complete reconciliations
• Manage a book of business that includes claims overpayment recoveries (Provider/Subscriber)
• Responsible for identifying process improvement opportunities that can enhance quality and efficiency without sacrificing service
• Working directly with third-party collections agencies to drive results for uncollectible Provider AR
• Directly interact with providers and subscribers to resolve payment disputes
• Assist in the development and preparation of departmental reporting metrics and analytics
• Generate and distribute reporting to management, key stake holders and executive leadership
• Create and maintain desk level procedure documents
• Responsible for sharing information across the team and other business areas to reduce overall AR and limit financial risk
• Document / prioritize system limitations and coordinate with respective areas to identify technical solutions or automation opportunities
• Self-sufficient in handling escalated cases with internal and external stakeholders

Skills

• 2 or more years' experience in the healthcare or health insurance industry
• Understanding of basic business acumen is desired
• Strong technical ability requires 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
• Detail oriented and organized, with exceptional prioritization skills
• Ability to effectively communicate with senior management, supervisors, peers and external providers
• Proficient in Microsoft Applications
• Understanding proven process improvement methodology and driving change management
• Customer Focused
• While associates may work remotely, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania
• Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app
• Bachelor's degree in business-related field is a plus
• AR management experience is strongly desired

Qualifications

Must Haves

• 2 or more years' experience in the healthcare or health insurance industry
• Understanding of basic business acumen is desired
• Strong technical ability requires 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
• Detail oriented and organized, with exceptional prioritization skills
• Ability to effectively communicate with senior management, supervisors, peers and external providers
• Proficient in Microsoft Applications
• Understanding proven process improvement methodology and driving change management
• Customer Focused
• While associates may work remotely, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania
• Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app

Nice to Haves

• Bachelor's degree in business-related field is a plus
• AR management experience is strongly desired

Benefits

• Hybrid of Choice: associates may choose whether to work remotely, work in the office every day, or work in the office on certain days at their discretion. While associates may work remotely, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.