Billing and Collections Specialist

Horizon Health•Howard, SD

12h•Remote

About The Position

Horizon Health in any Horizon community is seeking a Full-Time Billing and Collections Specialist . This position manages complex billing operations, resolves escalated claims issues, analyzes denial trends, and often provides mentorship to associates, playing a critical role in the healthcare organization’s financial integrity and revenue cycle management of the organization as directed by the Billing Manager. Successful candidates for the Billing and Collections Specialist should be passionate about providing high-quality, patient-centered care. Horizon Health offers a team oriented work environment focused on meeting the needs of individual patients while supporting and contributing to the health and wellness of our communities. Position may be remote eligible for the right candidate. Horizon Health’s culture is built on the Non-Negotiable attributes of Respect, Teamwork, Accountability, Integrity, Professionalism, and being Rurally Focused — ensuring every team member upholds these attributes daily. The organization values all contributions equally, supports individual growth, and aims to be your "forever employer" that enhances both employee satisfaction and community health outcomes. Horizon Health is an equal opportunity workplace and affirmative action employer. All qualified applicants will receive considerations for employment without regards to race, color, religion, sexual orientation, gender identity, national origin, disability, or veteran status.

Responsibilities

Process Improvement & Analysis: Monitor and analyze claim rejection trends, recommend and implement corrective actions, and develop or revise office procedures to enhance operational efficiency and maximize reimbursement.
Complex Claims Processing: Assist in overseeing the billing cycle, including accurate and timely submission of complex claims to various payers (Medicare, Medicaid, commercial insurers).
Denial Management and Appeals: Investigate and resolve denied or unpaid claims, identify the root cause of denials, and draft detailed appeal letters with supporting documentation.