Collections Representative

Description Robert Half is offering a career building opportunity for a Collections Representative in the Healthcare/NHS industry, located in Philadelphia, Pennsylvania. As a Collections Representative, you will work on ensuring the correct and timely reimbursement from third-party payors for services provided. Get your career moving in the right direction and click the apply button today!As a Collections Representative your responsibilities will include: Manage and resolve accounts in compliance with contracts and agreements, which includes the review, analysis, and identification of possible barriers to correct and timely claim submission and processing. Maintain communication with insurance companies and third parties via telephone, letter, fax, or email as necessary and document all actions taken to resolve accounts. Review and manage credit balances, submit requests for refunds in accordance with policies or initiate off-sets/retractions of incorrectly paid services when possible. Investigate and submit for approval write off allowances and/or adjustments that have reasonable justification in accordance with contracts and policies. Handle insurance explanations of benefits that require other activities or reconciliation. Ensure that all claim submissions, appeals, and requested information is provided within the required timeframe to avoid filing issues and processing delays. Assist with special projects, audits, and reconciliation as necessary. Comply with all internal procedures and policies while maintaining a high level of customer service. Utilize Microsoft Excel and other analytics tools for data handling and review. Transfer accounts when necessary and only after confirming updated registration or eligibility.Requirements The ideal Collections Representative will have: Demonstrated proficiency in Customer Service Proficient in Microsoft Excel Thorough understanding of procedures and policies Strong analytical skills Knowledge of compliance requirements within the healthcare industry Experience in Payment Processing Familiarity with Materials Handling Ability to Review and analyze accounts and financial data Experience with Accounts Receivable (AR) Proficient in Email Correspondence Understanding of insurance policies and claim processes Familiarity with the software 'About Time' Auditing skills, particularly within the healthcare industry Knowledge of Benefit Functions within the healthcare setting Experience in performing financial reconciliations Proficiency in Billing and Collection Processes Understanding of Revenue Accounting in a healthcare context Experience in Claim Administration Familiarity with Filing systems within a healthcare setting Knowledge of Consumer Electronics Ability to make financial adjustments as necessary Familiarity with HealthCare.gov and its functions Experience with document and claim Submission in a healthcare contextRobert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .