[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.

Essential Functions:

• 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.