Collections Specialist

Summary

Summit BHC is a healthcare organization providing behavioral health treatment services. The Collections Specialist manages accounts receivable and insurance account follow-up, pursuing payments, resolving account discrepancies, researching disputed claims, and generating reports to support timely reimbursement.

Responsibilities

• Pursues payment from third party payers as well as patients when needed. Initiates contact with third-party payers and tracks payment progress
• Ensures assigned follow up queue is current and noncompliance accounts are limited to no more than 7 days delinquent for follow-up
• Prepare adjustment forms and refund requests for management approval
• Reports payer and denial trends to upper management through continued communication with local UR teams
• Participates in AR Review calls with assigned facility
• Managed daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 40 accounts worked per day minimum. Definition of worked account means activity that produces resolution of payment. Worked accounts will be sampled to assure steps taken did or will assist in payment
• Research slow or disputed claims and takes appropriate action
• Generates AR reports as required by management

Skills

• High School or GED required
• Three or more years of hospital or physician insurance collector experience required
• Knowledge of UB04 forms, HCFA 1500 forms, CPT-4 and ICD10CM coding
• Excellent written and verbal communication skills
• Associates degree preferred
• Prefer behavioral health experience

Qualifications

Must Haves

• High School or GED required
• Three or more years of hospital or physician insurance collector experience required
• Knowledge of UB04 forms, HCFA 1500 forms, CPT-4 and ICD10CM coding
• Excellent written and verbal communication skills

Nice to Haves

• Associates degree preferred
• Prefer behavioral health experience

Benefits

• A comprehensive benefit plan
• This position is remote.