Hospital Collections Specialist

Hospital For Behavioral Medicine•Worcester, MA

34d•$24 - $28•Onsite

About The Position

This Hospital Collection Specialist is responsible for posting all payments received from patients, insurance companies and third parties and will document payments into the patient accounting system. The position is located in a central business office environment for a freestanding psychiatric hospital organization. The Hospital Collection Specialist is responsible for assisting with the timely follow-up and collection of behavioral health and chemical dependency claims for Inpatient and Outpatient levels of care to ensure the reimbursement of claims from various insurance companies.

Requirements

High school graduate or equivalent preferred.
A minimum of one (1) years’ experience in facility billing experience with knowledge of Medicare DDE and computerized systems strongly preferred, or related field, or any combination of education, training, or experience in a health care business office environment.
Knowledge of Microsoft Office including word, excel, and outlook.
Excel-lent communication skills and a professional demeanor is needed.
Detail oriented and possessing strong time management skills is necessary in order to manage multiple priorities in a fast-paced environment.
May be required to work occasional overtime and flexible hours.

Nice To Haves

Experience with insurance billing, computer and business software programs (Excel) preferred.

Responsibilities

Pull remits manually and electronically for deposits daily.
Accurately post payments and/or denials via ERA, EFT, and paper remits appropriately to accounts and balance payments posted back to the original deposit amounts.
Identify payor issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management.
Maintain and balance cash log daily to treasury.
Researches and resolves unapplied and/or unidentified cash receipts.
Identifies allowances, deductibles and co-insurance and ensures accurate posting.
Scans and uploads supporting documentation as needed.
Investigates all insurance recoupments to determine if they are correct or need to be appealed.
Runs electronic deposit reports and processes payments.
Review and interpret insurance carrier explanation of benefits (EOB) to post appropriate payment and denial codes.
Enter/correct charges for outpatient services.
Code and post all receivables from insurance companies, and third-party payors on patient accounts.
Identify payor issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management.
Performs account follow-up on outstanding balances and takes the necessary action for account resolution in accordance with established federal and state regulations.
Ensure the coordination of claim activities on various insurance portals and via phone to check claim status and resolve claim issues.
Assist to resolve credit balances with insurance company & patients.
Research and resolve insurance denials.
Maintain third-party logs.
Assist daily with benefit verifications for all new admissions as well as in-house patients.
Able to read and understand an EOB.

Benefits

401(k) + matching
Health insurance
100% company-paid life insurance coverage up to 2x your annual salary
Vision insurance
Dental insurance
100% company-paid long term disability insurance
Paid time off
Paid holidays
Cafeteria on site + discounted meals
Employee engagement events
Employee assistance program
Employee recognition program
Free parking
Career & training development opportunities
Dynamic and inclusive work environment
Engaged management team dedicated to your success
A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations