[Hiring] Collections Specialist @Summit BHC

Role Description

The Collections Specialist is responsible for providing AR management to include insurance account follow up in a timely and effective manner using healthcare business software applications as a part of the Centralized Business Office team. Responsibilities include recording receivable activities, identifying and resolving account discrepancies to ensure timely reimbursement.

• Pursues payment from third party payers as well as patients when needed.
• Initiates contact with third-party payers and tracks payment progress.
• Ensures assigned follow up queue is current and noncompliance accounts are limited to no more than 7 days delinquent for follow-up.
• Prepares adjustment forms and refund requests for management approval.
• Reports payer and denial trends to upper management through continued communication with local UR teams.
• Participates in AR Review calls with assigned facility.
• Manages daily productivity via patient accounting system and productivity reports, maintaining an average of 40 accounts worked per day minimum.
• Researches slow or disputed claims and takes appropriate action.
• Generates AR reports as required by management.

Qualifications

• High School or GED required, Associates degree preferred.
• Three or more years of hospital or physician insurance collector experience required. Prefer behavioral health experience.
• Knowledge of UB04 forms, HCFA 1500 forms, CPT-4 and ICD10CM coding.
• Excellent written and verbal communication skills.

Requirements

• This position is remote.
• This position is an Individual Contributor.

Benefits

• Comprehensive benefit plan.
• Competitive salary commensurate with experience and qualifications.

Company Description

Summit Healthcare Mgmt is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.