OTC Collections Specialist

About Xerox Holdings Corporation

For more than 100 years, Xerox has continually redefined the workplace experience. Harnessing our leadership position in office and production print technology, we’ve expanded into software and services to sustainably power the hybrid workplace of today and tomorrow. Today, Xerox is continuing its legacy of innovation to deliver client-centric and digitally-driven technology solutions and meet the needs of today’s global, distributed workforce. From the office to industrial environments, our differentiated business and technology offerings and financial services are essential workplace technology solutions that drive success for our clients. At Xerox, we make work, work. Learn more about us at www.xerox.com.

Purpose:

• Responsible for collecting overdue payments and establishing re-payment arrangements.
• Negotiates liability settlement of medical claims with third parties or healthcare providers; seeks reimbursement from healthcare providers and/or ensures payment of claims by appropriate insurance carrier.
  
  

• Builds knowledge of the organization, processes and customers
• Requires knowledge and experience in own discipline; still acquiring higher level knowledge and skills
• Receives a moderate level of guidance and direction
• Moderate decision making authority guided by policies, procedures, and business operations protocol
  
  

• May perform one or more of the following duties:
• Settles the health plan’s subrogation (i.e. third party liability claim) and reimbursement interest; negotiates with the service provider, insurance attorney, insured, etc. in pursuit of recovering payments for services that should have been paid by another party
• Applies legal principles and practices of subrogation to maximize recoveries
• Analyzes and reviews paid medical claims to ensure the recovery amount is consistent with settled agreement
• Applies coordination of benefits (COB) practices to minimize overpayment by client
• Perform onsite auditing of healthcare providers’ accounting records to identify and recover overpayments made by client
• Reviews and interprets employee benefit plan language or insurance contracts to ensure the plan rights are adhered to
• Ensures compliance with federal, state and local legislation regarding reporting and privacy issues
• All other duties as assigned