Senior Credit and Collections Analyst

2 weeks ago


Rancho Cucamonga, California, United States Kaiser Permanente Full time
Position Overview:

The Senior Credit and Collections Analyst is responsible for managing debt recovery processes by utilizing advanced negotiation skills and established business protocols to create payment arrangements and define payment terms. This role involves issuing complex communications to solicit payments, including making outbound calls for various dues and claims, while providing clear explanations regarding payment obligations. The analyst collaborates with both internal and external stakeholders to deliver comprehensive documentation, addressing inquiries related to claims, bankruptcy filings, and balance details for group purchasers. Additionally, the analyst reviews reporting data to ensure quality assurance and communicates potential issues to internal partners, facilitating the identification of action plans and strategic implementations. The role also includes identifying and resolving complex claims issues, escalating matters to senior management as necessary, and coordinating tasks with minimal supervision.

Key Responsibilities:
  • Fosters a culture of learning by sharing knowledge and resources with colleagues and stakeholders; builds strong relationships with cross-functional teams and clients. Actively seeks and addresses feedback on performance, providing constructive insights to peers and management. Engages in self-improvement initiatives, creating actionable plans to leverage strengths and address weaknesses, while influencing others through technical guidance and recommendations. Embraces new responsibilities and adapts to changes, demonstrating flexibility and supporting team collaboration to achieve business objectives.
  • Independently completes assignments and contributes to business-specific projects by applying expertise to develop innovative solutions; encourages adherence to established procedures among team members. Collaborates across departments to facilitate effective decision-making, providing recommendations and resolving intricate issues; escalates critical concerns as needed and monitors project progress and outcomes. Develops work plans aligned with business priorities, identifying necessary resources to meet deadlines. Recognizes and capitalizes on opportunities for improvement across teams, using influence to guide stakeholders toward effective solutions.
  • Manages debt recovery by employing advanced negotiation techniques to establish payment plans and terms; issues complex communications to request payments, including but not limited to group dues and claims; collaborates with internal and external contacts to provide detailed documentation in response to inquiries about claims and bankruptcy matters; reviews data reports for quality assurance and communicates potential issues to business partners, facilitating action plans and strategic improvements.
  • Oversees delinquent account management by adhering to departmental procedures for portfolio management; focuses on member and group retention through effective relationship-building and negotiation of payment agreements; acts as a liaison with various internal partners and external collection agencies to analyze and provide data; utilizes advanced analytical skills to ensure timely processing and reporting of performance metrics.
  • Contributes to project management efforts by maintaining stakeholder relationships to ensure successful project execution; independently tracks and coordinates multiple project activities, ensuring that expectations are met and potential risks are identified and escalated.
  • Maintains vendor relationships by ensuring compliance with organizational standards; utilizes advanced business knowledge to develop procedures and strategies for monitoring membership accounting and provider overpayments; reconciles vendor information with internal data.
Qualifications:
  • Bachelor's degree in healthcare administration, business administration, or a related field, along with a minimum of five (5) years of experience in data analysis, healthcare operations, customer service, banking, billing, and collections, or equivalent experience; or a minimum of eight (8) years of relevant experience.
Additional Skills:
  • Proficient in information gathering, cost optimization, compliance management, applied data analysis, financial analysis, and quality assurance processes.
Preferred Qualifications:
  • Two (2) years of experience in healthcare operations.
  • Master's degree or higher in Business Administration, Health Administration, or Finance.
  • Two (2) years of experience with financial information systems.
Work Environment: This position is remote, allowing for flexibility in work location within authorized states. Kaiser Permanente is committed to fostering an inclusive and diverse workforce, ensuring that equity and inclusion are integral to our mission and operations.

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