Healthcare Insurance Collections Specialist

Steps To Recovery; Franklin (TN); On-site; USD 42,000 - 62,000; Full time

Job summary

Odyssey Behavioral Healthcare is seeking an Insurance Collections Specialist to identify and resolve outstanding insurance balances and support timely payment processing. The role partners with finance and revenue cycle teams and engages with payers to improve cash flow.

Responsibilities include processing claims, appeals, and refunds while ensuring strict confidentiality of patient financial data across multiple facilities in our national network.

Qualifications

• Requires a high school diploma; a bachelor's degree is preferred.
• Demonstrated experience with insurance billing policies and practices.
• Strong analytical and problem-solving abilities in a fast-paced environment.

Responsibilities

• Processes outstanding insurance claims to resolution.
• Tracks insurance appeals through the appeals process.
• Manages coordination of benefits and coverage issues.
• Reports reimbursement trends and barriers to leadership.
• Maintains aging reports and patient balance statements as needed.
• Reviews EOBs and postings to validate overpayments and refunds.
• Ensures compliance with federal, state, and payer regulations.
• Investigates overpayments, incorrect payments, or duplicates.

Skills

Analytical skills

Customer service

Problem solving

Attention to detail

Time management

Communication

Education

High school diploma required

Bachelor's degree preferred

Tools

Microsoft Office (Word, Excel)

Job description

Odyssey Behavioral Healthcare is seeking an Insurance Collections Specialist to identify and resolve outstanding insurance balances and support timely payment processing. The role partners with finance and revenue cycle teams and engages with payers to improve cash flow.

Responsibilities include processing claims, appeals, and refunds while ensuring strict confidentiality of patient financial data across multiple facilities in our national network.