Insurance Claims Denials & Appeals Specialist

Neuro Behavioral Hospital - South; Boynton Beach (FL); On-site; USD 28,000 - 34,000; Full time

Job summary

Neuro Behavioral Hospital - South in Boynton Beach, FL is seeking an Insurance Collections Specialist to focus on reviewing insurance denials and returned claims. This role demands precise data entry, clear communication with insurers and clients, and strict adherence to HIPAA privacy standards.

You will follow up on claims to secure payment, verify client eligibility and responsibility, and assist with denials, appeals and related billing tasks.

Qualifications

• High School Diploma or GED equivalent; Bachelor’s degree preferred.
• Minimum of two years’ experience in Substance abuse Billing, Coding and Collections.
• Knowledge of Third Party payers, billing requirements and reimbursement methods; medical terminology.
• Experience with EMR and billing software; KIPU or Collaborate MD preferred.

Responsibilities

• Promote the mission, values and vision of the organization.
• Provide excellent customer service for clients; confidentiality and HIPAA compliance.
• Accurately enters data/notes into the electronic system for follow up.
• Assist with follow up on claims processed to ensure payment to the agency.
• Verify client eligibility and responsibility including co-pays, deductibles, co-insurance, and/or out of pocket maximums.
• Assist with follow-up on insurance denials, appeals and reconsiderations.
• Assist with all billing tasks and functions related to insurance, grant and client billing.
• Investigate insurance rejected claims and re-processing of denied claims and/or appeals.
• Identify denial patterns and notify senior management of payment delay issues.
• Contacts insurance companies regarding outstanding accounts.

Skills

Communication

Independent

Multitasking

Confidentiality

Teamwork

Detail-oriented

Education

High School Diploma or GED

Bachelor’s degree (preferred)

Tools

Word

Excel

PowerPoint

Outlook

EMR

Billing Systems

KIPU

Collaborate MD

Job description

Neuro Behavioral Hospital - South in Boynton Beach, FL is seeking an Insurance Collections Specialist to focus on reviewing insurance denials and returned claims. This role demands precise data entry, clear communication with insurers and clients, and strict adherence to HIPAA privacy standards.

You will follow up on claims to secure payment, verify client eligibility and responsibility, and assist with denials, appeals and related billing tasks.