Healthcare Collections Strategist II

Evolve Treatment Centers; El Segundo (CA); Vor Ort; USD 52.000 - 72.000; Vollzeit

Zusammenfassung

Evolve Treatment Centers in El Segundo, CA seeks a detail-oriented Collections Specialist to manage high-volume healthcare accounts and drive timely reimbursements. The role emphasizes accurate billing, denial resolution, and compliant communications with insurers and patients.

The ideal candidate will have 3–5 years of healthcare collections experience, knowledge of billing procedures, and proficiency with payer resources. Behavioral health experience is a plus.

Qualifikationen

• Experience working in Healthcare as Collections Specialist, especially Behavioral Health claims collection.
• 3-5 years High Volume corporate Collections experience.
• Knowledge of Billing and Collections procedures.
• Experience working with online payer resources.
• Excellent phone etiquette and oral communication skills.

Aufgaben

• Manage high volume insurance collections and follow up on unpaid claims.
• Investigate and resolve denials, underpayments, and reimbursement disputes.
• Communicate with insurers and patients to secure timely reimbursement.
• Prepare and pursue complex appeals and payer escalations.
• Review EOBs/remittance advisories and ensure correct processing.
• Follow HIPAA compliance in all billing activities.
• Organize and generate daily/weekly production reports.
• Prepare client statements and manage patient balances.
• Collaborate with third-party rate negotiation companies to expedite claims.
• Access EMR and billing software for documentation and submission.

Kenntnisse

Healthcare billing

Accounts receivable

HIPAA compliance

Denials research

Payer communication

High volume collections

CRM software

Tools

KIPU

CollaborateMD

Microsoft Office

Jobbeschreibung

Evolve Treatment Centers in El Segundo, CA seeks a detail-oriented Collections Specialist to manage high-volume healthcare accounts and drive timely reimbursements. The role emphasizes accurate billing, denial resolution, and compliant communications with insurers and patients.

The ideal candidate will have 3–5 years of healthcare collections experience, knowledge of billing procedures, and proficiency with payer resources. Behavioral health experience is a plus.