Collections Specialist
4 days ago
At Discovery Behavioral Health DBH, we are seeking a highly skilled and detail-oriented Collections Specialist to join our team.
Job Summary:The Collections Specialist will be responsible for effective communication and coordination with insurance companies and clients to obtain the maximum benefits for our clients.
Key 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.
- 1-year minimum healthcare experience with billing or insurance verification required.
- Basic understanding of insurance terminology (out-of-network benefits 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.
Discovery Behavioral Health DBH is committed to creating an inclusive environment. We encourage multiple perspectives, experiences, and strive to hire and retain a diverse workforce.
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.
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