Senior Collections Specialist

ICBD Holdings•Lauderdale Lakes, FL

19h

About The Position

Collections Specialist—Behavioral Health – Exact Billing Solutions (EBS) Lauderdale Lakes, FL Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies. EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations. Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client-first innovation. Our Origin Story Exact Billing Solutions was launched to address one of healthcare’s most persistent challenges: the burden of billing and insurance administration on providers. With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties. Recognition & Awards Exact Billing Solutions contributes heavily to the success of the broader ICBD family office ecosystem and benefits from the recognition awarded to other portfolio companies, including: Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America) EY Entrepreneur Of The Year® U.S. Overall Florida Trend Magazine – 500 Most Influential Business Leaders About the Role The Senior Collections Specialist is responsible for managing complex and high-value accounts receivable (AR) within the healthcare revenue cycle. This role focuses on advanced claim resolution, denial management, appeals, and payor escalation strategies while serving as a subject-matter expert and mentor to the collections team.

Requirements

Associate’s degree (preferred)
5+ years of healthcare collections experience
Behavioral health out-of-network billing experience required
Advanced knowledge of CollaborateMD EMR and billing systems
Experience with ABA therapy preferred
Strong knowledge of CPT and ICD-10 codes
Demonstrated experience with claims denials, follow-up, and appeals

Nice To Haves

Associate’s degree (preferred)
Experience with ABA therapy preferred

Responsibilities

Review, prioritize, and manage complex AR inventory including aged, high-dollar, and escalated claims.
Lead investigation and resolution of denials, rejections, and underpayments through direct payor engagement.
Prepare, submit, and track corrected claims, appeals, and required documentation to secure reimbursement.
Monitor payor trends, identify root causes of recurring issues, and escalate findings with recommendations.
Serve as a subject-matter expert and provide guidance to Collections Specialists on complex cases.
Document all collection activity accurately within CollaborateMD.
Create and monitor reports on key metrics such as cash collections, days outstanding, denials, and unbilled claims.
Maintain effective communication with third-party insurance carriers to support cash flow and satisfaction.
Meet or exceed established KPIs for productivity, quality, and timeliness.

Benefits

21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays).
Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
Medical, dental, vision, long-term disability, and life insurance.
Generous 401(k) with up to 6% employer match.

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