Insurance Collections Specialist - Behavioral Health

We're looking for an experienced insurance Collector.  The  Collections Specialist will be responsible for performing typical collection functions such as claim status, working the A/R, filing corrected claims, filing appeals as needed and posting payments.  

Responsibilities:

• Review data on insurance policies to ensure accurate claim processing and payment.
  


• Ensure that any corrected claims are submitted in a timely manner.
  


• Prepare materials for submission to insurance companies as requested.


• Ensure that open claims are followed up timely.


• Create and submit status reports on a weekly basis.


• Develop and submit appeals, including necessary supporting documentation, as required for claims reimbursement.


• Reprocess any underpaid claims.
  


• 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 as needed.


• Maintain accurate and thorough records.


• Demonstrate the ability to act as a team player in a professional and positive manner.

QUALIFICATIONS:

• 2-3+ years experience and knowledge of medical claims. Self-starter with strong billing, coding, and claims follow-up skills.


• Behavioral health / mental health service line and billing experience preferred


• Experience communicating with payers to resolve issues.


• Proficient with Excel and data analysis


• Ability to navigate occasionally complex workflows.


• Strong attention to detail.


• Technically savvy with claims billing software and Microsoft Office, KIPU OR other EMR systems with a desire to learn new software as well.


• Strong communication and interpersonal skills.


• Experience with CollaborateMD a plus!!!!