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 operates a national network of specialized treatment centers for mental health conditions, substance use disorders, and eating disorders. We offer a complete continuum of care — from inpatient to intensive outpatient programs — along with detox services and transitional housing to support each stage of recovery.What We OfferCollaborative environment dedicated to clinical excellenceMultiple Career Development PathwaysCompany Supported Continuing Education & CertificationMultiple Health Plan Design Options AvailableFlexible Dental & Vision Plan Options100% Company Paid EAP Emotional Well-Being Support100% Company Paid Critical Illness (with health enrollment plan)100% Company Paid Life & ADD401K with Company MatchCompany-Sponsored HSA, FSA, & DSA Tax Savings AccountsGenerous Team Member Referral ProgramParental LeavePosition SummaryThe Insurance Collections Specialist is responsible for identifying, analyzing, and resolving insurance account balances to ensure accurate and timely payment processing. This role supports financial integrity by reducing outstanding receivables and communicating with payers.Relationships and ContactsWithin the organization: Maintains close and frequent contact with the finance and revenue cycle team members within both the facility-based teams and Odyssey.Outside the organization: Maintains close and frequent contact with insurance providers and third-party vendors, as necessary.Position ResponsibilitiesEssential Responsibilities1. Processes outstanding insurance claims to point of resolution.2. Tracks insurance appeals needed throughout the appeals process.3. Processes coordination of benefit and coverage termed issues.4. Reports insurance reimbursement trends and barriers to leadership.5. Manages aging reports and prepares patient balance statements as necessary6. Reviews Explanation of Benefits (EOBs) and payment postings to validate overpayments and support refund decisions7. Ensures compliance with all federal, state, and payer-specific refund regulations and timelines8. Researches and resolves issues related to overpayments, incorrect payments, or duplicate payments9. Maintains strict confidentiality of all patients financial and healthcare information.Additional Responsibilities1. Abides by all company policies and procedures.2. Performs other duties and projects, as assigned.Minimum RequirementsEducation and ExperiencePosition requires a high school diploma, bachelor’s degree preferred, and two (2) years of directly related experiencePhysical Requirements• While performing the duties of this job, the employee will be required to communicate with peers/public, clients and/or vendors• Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time• While performing the duties of this job, the employee may be required to talk or hear, sit, stand, or walkSkill Competencies• Demonstrates strong problem solving and analytical skills• Demonstrates strong customer service skills• Demonstrates proficiency with Microsoft Office (Word and Excel)• Demonstrates excellent organizational and time management skills• Demonstrates successful collaborative skills working with a variety of groups• Demonstrates strong attention to detail• Demonstrates functional knowledge of basic behavioral health terminology• Demonstrates familiarity with insurance billing policies and practices• Demonstrates commitment to the vision and values of Odyssey Behavioral HealthcareOdyssey Behavioral Healthcare, LLC and its subsidiaries provide equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the right to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.”