Insurance Collections Specialist – Behavioral Health
Location : Lauderdale Lakes, FL
Base Pay Range : $58,240.00 – $64,480.00 per year
About the Role Your role will focus on effective communication and coordination with insurance companies and clients to obtain the maximum benefits for clients. You will work across multiple expanding clinic locations, and your collections work is critical to the operation and growth of the partner healthcare companies we serve. The work you do can make a real difference in the lives of client families and children by enabling our partners to open clinics where they are desperately needed.
Responsibilities
Review and manage assigned AR inventory to ensure timely follow‑up on outstanding claims.
Investigate and resolve denials, rejections, and under‑payments by working directly with payors and internal teams.
Submit corrected claims, appeals, and additional documentation as required to secure reimbursement.
Document all collection activities clearly and accurately within our systems.
Monitor payor trends and escalated recurring issues to leadership.
Meet or exceed daily, weekly, and monthly productivity and quality standards.
Support special projects and process improvement initiatives as assigned.
Maintain effective communication with third‑party insurance carriers to resolve issues that impede cash flow.
Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
Status claims and add notes in the patient accounting system (CollaborateMD).
Escalate any payor or client claim issues to department leadership.
Establish and maintain effective communications with the leadership team to ensure all third‑party guidelines are satisfied.
Update patient demographics and insurance information as needed.
Ability to meet KPI established metrics for productivity.
Qualifications
Associate’s degree (preferred).
Behavioral health out‑of‑network billing: 3 years of experience.
Knowledge and experience with CollaborateMD EMR and billing software programs.
Experience with ABA therapy preferred.
Experience/knowledge with CPT and ICD10 codes preferred.
Claims denial experience with follow‑up from payers, including appeals.
Benefits
21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays).
Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
Medical, dental, vision, long‑term disability, and life insurance.
Generous 401(k) with up to 6% employer match.
Culture Integrity, dependability, and attention to detail are core values that define our team. We are a fast‑paced, growing company that delivers services that allow our clients to spend more time helping people. At the end of the day, it’s people, not numbers, that drive our success.
Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program.
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Location : Lauderdale Lakes, FL
Base Pay Range : $58,240.00 – $64,480.00 per year
About the Role Your role will focus on effective communication and coordination with insurance companies and clients to obtain the maximum benefits for clients. You will work across multiple expanding clinic locations, and your collections work is critical to the operation and growth of the partner healthcare companies we serve. The work you do can make a real difference in the lives of client families and children by enabling our partners to open clinics where they are desperately needed.
Responsibilities
Review and manage assigned AR inventory to ensure timely follow‑up on outstanding claims.
Investigate and resolve denials, rejections, and under‑payments by working directly with payors and internal teams.
Submit corrected claims, appeals, and additional documentation as required to secure reimbursement.
Document all collection activities clearly and accurately within our systems.
Monitor payor trends and escalated recurring issues to leadership.
Meet or exceed daily, weekly, and monthly productivity and quality standards.
Support special projects and process improvement initiatives as assigned.
Maintain effective communication with third‑party insurance carriers to resolve issues that impede cash flow.
Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
Status claims and add notes in the patient accounting system (CollaborateMD).
Escalate any payor or client claim issues to department leadership.
Establish and maintain effective communications with the leadership team to ensure all third‑party guidelines are satisfied.
Update patient demographics and insurance information as needed.
Ability to meet KPI established metrics for productivity.
Qualifications
Associate’s degree (preferred).
Behavioral health out‑of‑network billing: 3 years of experience.
Knowledge and experience with CollaborateMD EMR and billing software programs.
Experience with ABA therapy preferred.
Experience/knowledge with CPT and ICD10 codes preferred.
Claims denial experience with follow‑up from payers, including appeals.
Benefits
21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays).
Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
Medical, dental, vision, long‑term disability, and life insurance.
Generous 401(k) with up to 6% employer match.
Culture Integrity, dependability, and attention to detail are core values that define our team. We are a fast‑paced, growing company that delivers services that allow our clients to spend more time helping people. At the end of the day, it’s people, not numbers, that drive our success.
Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program.
#J-18808-Ljbffr