Insurance Collections 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

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Collections Specialist

Full Time Clerical Boynton Beach, FL, US

2 days ago Requisition ID: 1066

Salary Range: $20.00 To $25.00 Hourly

POSITION FUNCTION/OVERVIEW:

This position will focus on accuracy in reviewing and assessing insurance denials or returned claims. Must be able to communicate with insurance companies and clients from a resolution based perspective. This communication should be focused on acquired knowledge, insurance carrier guidelines, company policies & procedures, research and collection efforts. In addition to following up on claims, the collection specialist will be responsible for sending out medical records and writing appeals for denials to the insurance companies.

PRIMARY DUTIES/RESPONSIBILITIES:

• Promote the mission, values and vision of the organization.
• Provide excellent customer service for clients; practices confidentiality and privacy protocols in accordance with HIPAA requirements.
• Accurately and thoroughly enters data / notes into the electronic system for follow up.
• Assists with follow up on claims processed to ensure payment to the agency.
• Works directly with payers to verify client eligibility and client payment responsibility including co-pays, deductibles, co-insurance, and/or out of pocket maximums.
• Assists as needed with follow-up on insurance denials, appeals, and reconsiderations.
• Assists as needed with all billing tasks and functions related to insurance, grant, and client billing.
• Responsible for investigating insurance rejected claims and the re-processing of denied claims and/or appeals of denied or underpaid claims.
• Identify denial patterns, as well as notifying senior management of payment delay issues.
• Contacts insurance companies regarding outstanding accounts .

QUALIFICATIONS REQUIRED:

• High School Diploma or GED equivalent with combination of education and work experience, required; Bachelor’s degree, preferred.
• Minimum of two (2) years’ experience in Substance abuse Billing, Coding and Collections.
• Knowledge of Third Party payers, billing requirements and reimbursement methods; knowledge of medical terminology.
• Knowledge of claims reimbursement and collection efforts for the field of Substance Abuse treatment.
• Relevant computer software and hardware applications proficiency – Word, Excel, PowerPoint, Outlook, Electronic Medical Records, Billing Systems and/or other scheduling applications; KIPU preferred, Collaborate MD

SKILLS:

• Strong communication skills, both written and verbal.
• Ability to work independently, as well as part of a team.
• Manage multiple tasks and set priorities.
• Ability to handle highly sensitive and confidential information.
• Ability to work in a fast-paced, high-energy environment.
• Excellent interpersonal and customer-facing skills.
• Ability to work accurately, with attention to detail.