Credit & Collections Officer

About the role

The Credit & Collections Officer manages receivables within their portfolio at a DHB Credit/Collections facility. The role requires a solid understanding of credit control, healthcare billing and collections regulations, and involves working with internal and external stakeholders while keeping positive customer relationships.

Key responsibilities

• Manage receivables, including insurance claims, patient accounts and self-pay accounts, within the assigned portfolio
• Contact patients about outstanding balances and send patient bills accurately and on time to minimise denials
• Follow credit and collection policies and comply with credit policies and regulations
• Coordinate with departments such as Patient Refunds and Corporate Finance to resolve credit-related issues and disputes
• Negotiate payment arrangements and settlements with patients, insurers and other stakeholders
• Escalate unresolved issues or high-risk accounts to the Credit & Collections Manager or Director
• Maintain positive relationships with patients, insurers and other external parties, and handle escalated customer queries professionally
• Ensure compliance with healthcare billing and collections regulations, including HIPAA
• Prepare and analyse reports on collection performance, aging accounts and key metrics

Required profile

• Bachelor's degree in finance, accounting, business administration or a related field
• Minimum of 3-5 years of experience in credit and collections, preferably in a healthcare or hospital setting
• Relevant certifications or professional qualifications are a plus
• Knowledge of financial assistance programs and eligibility criteria
• Familiarity with data privacy and confidentiality regulations, including HIPAA

Required skills

• In-depth knowledge of credit control, healthcare billing regulations and insurance reimbursement processes
• Proficiency in billing and collections software, electronic health record systems and Microsoft Office Suite
• Strong negotiation, analytical and problem-solving skills, with attention to detail
• Excellent communication and organisational skills in a fast-paced environment