Job Description

The COLLECTIONS SPECIALIST is responsible for effective communication and coordination with Insurance companies and clients to obtain the maximum benefits for our clients. You will establish relationships with insurance carriers and obtain accurate, detailed insurance benefit information by phone and via the internet. Claim follow-up will be conducted weekly, ensuring that accurate payments are received in a timely manner. Good verbal and written communication are required. Record keeping must be accurate and thorough. Flexibility with schedule so you can meet critical deadlines as established.

RESPONSIBILITIES

• Review data on insurance policies to ensure accurate claim processing and payment.
• Accurately utilize the billing system.
• Create and submit claims if needed.
• Ensure corrected claims are submitted in a timely manner if needed.
• Follow-up with claims on a weekly basis, ensuring claims are received in a timely manner
• Prepare materials for submission to insurance companies as requested.
• Ensure unprocessed claims are followed up on timely.
• Develop and submit appeals, including supporting documentation as needed.
• Contact clients to collect on outstanding account balances. Process and send statements as needed.
• Maintain confidentiality of patient care and business.
• Demonstrate strong, professional communication and interpersonal skills with clients, public, managers and co-workers.
• Perform general office duties and keep desk clean and organized.
• Maintain accurate and thorough records.
• Demonstrate the ability to act as a team player in a professional and positive manner.
• Perform other duties as assigned by supervisor

This is a FULL-TIME position at our corporate office.

Qualifications

• 1-year minimum healthcare experience with billing or insurance verification required.
• Basic understanding of insurance terminology (out-of-network benefit s vs. in-network benefits, as well as coinsurance, co-pays, and deductibles), in addition to general billing practices.
• Coding/Billing Certificate from an accredited institute or school preferred.
• Experience with behavioral health treatment preferred.
• Knowledge of SUD, IOP, and Mental Health programs.
• Knowledge and experience with EMR and billing software programs required.
• Knowledge and experience with Medics software a plus

We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, or national origin.

For more information about our company benefits, please visit us at discoverybehavioralhealth.com/careers/