Collections Specialist

ORGANIZATION

Pantogran, DBA CARD, is seeking highly motivated professionals to join our team. As a part of our growing organization under new ownership, you'll have the opportunity to contribute to our success and take advantage of new policies and benefits.

We offer a dynamic work environment where your talents and skills will be valued and rewarded.

The Center for Autism and Related Disorders (CARD) is among the world’s largest and most experienced organization effectively treating individuals of all ages who are diagnosed with autism spectrum disorder.

CARD strives to meet the growing need for services by continuously opening new offices throughout the country to provide top-quality ABA therapy across all populations.

CARD treats individuals with ASD using the principles of applied behavior analysis (ABA), which is empirically proven to be the most effective method for treating individuals with ASD and recommended by the American Academy of Pediatrics and the US Surgeon General.

With locations throughout US and internationally, CARD’s mission is to provide access to top-quality treatment all over the world.

Through its network of trained technicians, behavior analysts, and researchers, CARD develops and implements quality, comprehensive, and individualized treatment programs that lead to success.

Remote Location - CA Sacramento, California 95834

DESCRIPTION

The Collections Specialist will be responsible for reprocessing and writing and submitting 1st and 2nd level insurance denials.

This full-time, non-exempt position requires strong critical thinking and the ability to adhere to detailed denial and Accounts Receivable collections processes.

DUTIES & RESPONSIBILITIES

• Responsible for claims follow up, resubmission of insurance claims.
• Serves as the practice expert and go-to person for their assigned billing processes.
• Analyze billing and claims for accuracy and completeness when claims are denied.
• Maintains contacts with other departments within the organization to improve the efficiency of the collections process.
• Keeps current with funding source rule changes and distributes the information within the organization.
• Understands and remains current with coding and billing regulations and compliance requirements.
• Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
• Performs other miscellaneous job-related duties as assigned or needed.

EXPERIENCE & QUALIFICATIONS

• High School Diploma.
• Billing and Collections certificate preferred.
• Minimum of 3-5 years of medical insurance collections and AR follow up.
• A combination of education and experience will be considered.
• Prior experience in the Applied Behavioral Analysis industry is preferred.
• Thorough understanding of Commercial PPO, HMO and Medicaid funding sources.
• Good planning and organizational skills to balance and prioritize work.
• Proficient in Microsoft Office, including Outlook, Word, and Excel.
• Excellent communication skills (written and oral)

BENEFITS & COMPENSATION

Benefits include medical, dental, vision, life insurance, flexible spending program, 401K, earned paid vacation, sick and holiday pay, educational assistance program and corporate discount programs.