Collections Analyst

Overview

Responsible for the research, collection and/or resolution of an assigned account portfolio in accordance with PharMerica’s Collections Policy and Procedures and the Consumer Credit Protection Act of 1977.

Responsibilities

• Responsible for collection efforts of patient level accounts primarily for private accounts.
• Works with responsible parties, receiving in/out bound telephone calls, providing customer service through explaining why they are being billed and following-up on past due accounts using approved collection techniques.
• Works with internal and external customers to resolve assigned portfolio of accounts by collecting the balance due or by taking other action (write-offs, billing to another source, in-house collections or referral to attorney or collections agency, etc.) necessary to resolve account and relieve AR in a timely manner. Productivity records will also be maintained.
• Works with pharmacy billing associates in obtaining accurate billing and resident information and in re-billing and resolving unpaid claims through adjudication.
• Works with Private Collection Manager/Supervisor in researching pharmacy accounts requiring special attention, as indicated on Collection reports and taking all necessary action to collect money.
• Works with assigned pharmacy locations, nursing home accounts and individual customers in receiving inbound correspondence and mailing outbound collection letters for 90-day active/inactive accounts and discontinuation of service letters.
• Works with Private Collections Manager/Supervisor and other members of the management team on special projects as needed.
• Performs other tasks as assigned.
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications

• Education/Learning Experience

Required: High School graduate, GED or equivalent experience

• Work Experience

Required: 1 year billing and/or collections experience

Desired: Third Party Billing or collections/billing experience in the healthcare industry; AS400 computer experience

• Skills/Knowledge

Required: Data entry, MS Excel and Word and basic computer knowledge

Desired: Medical billing and coding

• Behavior Competencies:
• Required: Communication, Problem Solving, Detail Orientation, and Teamwork