Jr. Appeals Collector

Our client, an important company specialized in consulting and outsourcing (customer services), located in Flores of Heredia, requires Jr. Appeals Collectors. This position is responsible for performing follow up on all appeals submitted to the payer for timely payment and resolution (50 % back offices 50 % outbound calls). 

DUTIES

• Pursue additional payment on open appeals through various means of communication, such as telephonically, online or via payment package processes with payers and patients.
• Overcome objections that prevent payment of the claim.
• Gain commitment for payment through concise and factual collection techniques.
• Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response.
• Communicate trends to management as identified.
• Utilize effective documentation standards that support a strong historical record of actions taken on the account.
• Meet the productivity and quality standards of the organization.
• Complete and comprehend all educational requirements.
• Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement.
• Other duties as assigned

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  REQUIREMENTS

  • English Spanish Language (Oral and writing 85% or higher), (B2+ or above).
  • Must have a high school diploma.
  • 1 year of experience in Customer Service positions.
  • The resource will adjust its local schedule with the resources supporting this position during Daylight Savings time changes in the Eastern Time Zone.
  • A genuine interest in working with and helping customers.
  • Must possess excellent communication skills and involvement.
  • Good presentation and a polite, tactful, and friendly character.
  • Healthcare experience is a plus.