Behavioral Health Collections Specialist
Recreate Behavioral Health Network, Boca Raton, FL, United States
Recreate Behavioral Health Network is searching for a Commercial Insurance Collections Specialist to join our team of healthcare professionals. We are currently beginning the talent search and vetting process. The Insurance Collections Specialist must be very organized and an incredible multi‑tasker, must have the ability to challenge insurance denials and have claims processed for payment.
Behavioral health background is a plus, but not needed to apply.
Responsibilities
Working directly with the billing team lead on: Daily tasks, Workflow, A/R Spreadsheet, Refund request, Retractions, Payment follow‑up, Medical Records/ Appeals Requests.
Specialists must complete tasks in a timely manner and be accurate by following-up with third‑party payers for outstanding accounts receivables and insurance reimbursements.
Read notes carefully, research: patient’s benefits and claim for denials and/or past due.
Document all claims for proper follow‑up and understanding if assistance is needed.
Ability to work on a schedule and prioritize workload, identify key projects that will result in reduction of outstanding accounts receivable with the billing team.
Be willing to call third‑party payers concerning claim rejections, denials, and payment inconsistencies and make sure call follow‑up satisfies the department requirements.
Accurately document all relevant medical claims, Spreadsheets, and actions for audit and tracking.
Taking ALL appropriate
eeded steps towards claim resolution for proper reimbursements.
Ability to organize and maintain appropriate schedules for claims follow‑up calls with third‑party payers.
Ability to understand, request and file appeals for proper claim reimbursements.
Develop expertise and payer‑specific knowledge on all aspects of medical claim collections.
Identify and report collection trends and/or issues resulting in delayed claim adjudication.
Interpret explanation of benefits for accuracy and correct payer adjudication.
Communicate and collaborate with team members concerning payer payments and denial trends.
Excellent communication and have a team‑oriented mentality.
Ability to work with other collection specialists to create collective team advancements.
Collaborate with the RCM management on collection strategies and achieve department goals.
Ability to assist with special projects regarding collections with the RCM management team.
Monitor insurance claims and contacting insurance companies on the facilities behalf.
Collecting on all insurance claims for correct reimbursement of services rendered to our facility.
Respond to insurance companies regarding claims or account status.
Participate in a billing and collection related meetings to discuss new and on‑going account resolution.
Required Skills
Ability to hand and field all insurance phone calls in regards to claims status
Knowledge of billing procedures and collection techniques
Excellent understanding of AR processes
Ability to read and understand EOBs
Experience using medical billing software – Collaborate MD
Ability to prioritize tasks properly
Organized and able to multitask
Excellent verbal and written communication skills
Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)
Answer multi‑line telephones
Exhibit patience and compassion
Self‑directed with ability to work with minimal supervision
Understanding of being HIPAA Compliant with all patient information
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Education
High school or equivalent (Preferred)
Experience
Medical Billing: 2 years (Preferred)
Schedule
8 hour shift
Job Type
Full‑time
Work Location
In person
#J-18808-Ljbffr
Behavioral health background is a plus, but not needed to apply.
Responsibilities
Working directly with the billing team lead on: Daily tasks, Workflow, A/R Spreadsheet, Refund request, Retractions, Payment follow‑up, Medical Records/ Appeals Requests.
Specialists must complete tasks in a timely manner and be accurate by following-up with third‑party payers for outstanding accounts receivables and insurance reimbursements.
Read notes carefully, research: patient’s benefits and claim for denials and/or past due.
Document all claims for proper follow‑up and understanding if assistance is needed.
Ability to work on a schedule and prioritize workload, identify key projects that will result in reduction of outstanding accounts receivable with the billing team.
Be willing to call third‑party payers concerning claim rejections, denials, and payment inconsistencies and make sure call follow‑up satisfies the department requirements.
Accurately document all relevant medical claims, Spreadsheets, and actions for audit and tracking.
Taking ALL appropriate
eeded steps towards claim resolution for proper reimbursements.
Ability to organize and maintain appropriate schedules for claims follow‑up calls with third‑party payers.
Ability to understand, request and file appeals for proper claim reimbursements.
Develop expertise and payer‑specific knowledge on all aspects of medical claim collections.
Identify and report collection trends and/or issues resulting in delayed claim adjudication.
Interpret explanation of benefits for accuracy and correct payer adjudication.
Communicate and collaborate with team members concerning payer payments and denial trends.
Excellent communication and have a team‑oriented mentality.
Ability to work with other collection specialists to create collective team advancements.
Collaborate with the RCM management on collection strategies and achieve department goals.
Ability to assist with special projects regarding collections with the RCM management team.
Monitor insurance claims and contacting insurance companies on the facilities behalf.
Collecting on all insurance claims for correct reimbursement of services rendered to our facility.
Respond to insurance companies regarding claims or account status.
Participate in a billing and collection related meetings to discuss new and on‑going account resolution.
Required Skills
Ability to hand and field all insurance phone calls in regards to claims status
Knowledge of billing procedures and collection techniques
Excellent understanding of AR processes
Ability to read and understand EOBs
Experience using medical billing software – Collaborate MD
Ability to prioritize tasks properly
Organized and able to multitask
Excellent verbal and written communication skills
Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)
Answer multi‑line telephones
Exhibit patience and compassion
Self‑directed with ability to work with minimal supervision
Understanding of being HIPAA Compliant with all patient information
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Education
High school or equivalent (Preferred)
Experience
Medical Billing: 2 years (Preferred)
Schedule
8 hour shift
Job Type
Full‑time
Work Location
In person
#J-18808-Ljbffr