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Senior Credit & Collections Specialist
Elevance Health. Follow established guidelines and contact groups to collect past due insurance premiums and/or past due health insurance claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in commercial debt collection, including claims follow-up and denial resolution, while effectively managing healthcare revenue cycle processes. Proficient in utilizing NextGen and Waystar systems to support Medicare, Medicaid, and Commercial Insurance accounts.
Highest-signal resume keywords
Commercial Debt Collection ExperienceHealthcare Revenue Cycle ManagementNextGen System ProficiencyWaystar System ProficiencyClaims Follow-Up and Denial Resolution
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Debt CollectionClaims Follow-UpDenial ResolutionReport PreparationResearch and Validation of Debt
Tools & Technologies
NextGenWaystar
Certifications & Qualifications
H.S. Diploma or Equivalent
Industry Keywords
MedicareMedicaidCommercial InsurancePayer Reimbursement ProcessesHealthcare
About the role
Key responsibilities & impact- Follow established guidelines and contact groups to collect past due insurance premiums and/or past due health insurance claims
- Research the validity of past due and/or disputed debt
- Generate demand letters
- Prepare reports reflecting the status of credit and collection activities for management review
- Perform complex collection activities related to past due health insurance premiums and/or past due health insurance claims
Requirements
What you’ll need- H.S. diploma or equivalent
- Minimum of 2 years of commercial debt collection experience
- Or any combination of education and experience providing an equivalent background
- Experience with NextGen and Waystar systems
- Experience supporting Medicare, Medicaid, and Commercial Insurance accounts
- Proven background in commercial insurance collections, claims follow-up, and denial resolution
- Knowledge of healthcare revenue cycle management and payer reimbursement processes
- Candidates must reside within a reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law
- Certain patient/member-facing roles require vaccination against COVID-19 and Influenza
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical benefits
- dental benefits
- vision benefits
- short-term disability benefits
- long-term disability benefits
- 401(k) + match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
- Virtual work arrangement with maximum flexibility and autonomy
- Required in-person training sessions
- Vaccination coverage/requirement for certain patient/member-facing roles