Insurance Collections Specialist

Ridgeview Institute Smyrna • Smyrna, GA

3d

About The Position

The Insurance Collections Specialist is a multi-task position that covers all the main functions of the Business Office. This role involves contacting commercial and managed Medicaid payors to collect on unpaid claims in a timely and accurate manner, submitting account corrections and adjustments, denial management, payment variance management, and appeal submissions when required. The specialist will work with management to identify trends and address root causes of issues in the Accounts Receivable (A/R). This position requires collaboration with other team members and departments, making communication essential for timely account resolution.

Requirements

• Understanding of third-party payor rules and regulations
• Ability to read UB04 forms
• Able to read and understand an EOB
• Can take the necessary action for account resolution in accordance with established federal and state regulations
• Can verify benefits via online portal or over the phone
• Understand payor contracts and can verify the insurance company has paid correctly
• Ability to identify next steps required when a claim has been denied/rejected
• Excellent communication is needed to document accounts accurately
• Strong organizational and communication skills
• Strong ability to prioritize and efficiently manage time
• High school graduate or equivalent preferred
• A minimum of one (1) years’ experience in a Mental health collections or related field, or any combination of education, training, or experience in a health care business office environment
• Experience with insurance billing, computer and business software programs (Excel) preferred
• Knowledge of Microsoft Office including word, excel, and outlook
• Competence in basic PC skills required to perform job functions
• Working knowledge of basic medical terminology

Nice To Haves

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

Responsibilities

• Contacting commercial and managed Medicaid payors to collect on unpaid claims in a timely and accurate manner
• Submit account corrections and adjustments
• Denial management
• Payment variance management
• Appeal submissions when required
• Works with management to identify trends and address root causes of issues in the A/R
• Collaboration with other team members and departments
• Account resolution must occur within a timely manner

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 + one free meal per day
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED