Collections Specialist
4 weeks ago
We are seeking a highly skilled Collections Specialist to join our team at Prosperity Wellness Center. This role is 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.
Prosperity Wellness Center is committed to creating an inclusive environment. We strive to build a diverse staff that is reflective of the patients we serve and the communities where we work. If you find yourself meeting some but not all the above, we'd be happy to consider your application.
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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