Insurance Collections Specialist

Job Description

Job Description

Company Description

Therapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D, since 2006.

At Therapy & Beyond, we approach the needs of each patient both individually and as part of a dynamic interdisciplinary team working with experts in Applied Behavior Analysis (ABA) therapy, Speech-Language Pathology, and Occupational Therapy.

We love helping individuals reach their full potential by supporting not only the patient but also their family. Above all, we grow potential by putting people first, doing our best together, and making therapy fun!

Job Description

The Insurance Collection Specialist is responsible for the collections of insurance claims. Essential to this position is the ability to manage all insurance follow up for maximum insurance reimbursement.

To include outbound and inbound insurance carrier calls, reprocessing claims, drafting appeals, working denials and resolving unpaid claims.

Responsible for ensuring accurate payment posting from both patients and insurance providers.

JOB SPECIFIC FUNCTIONS :

Understanding and staying informed of the changes with procedures, billing guidelines, and laws for specific insurance.

Initiating collection follow-up on all unpaid or denied claims with appropriate insurance carriers.

Research, appeal, and resolve unpaid insurance claims.

Actively follow up and collect on all electronic claims, including resolution of any billing errors assigned following established procedures.

Respond to correspondence from insurance carriers.

Payment posting of patient account payments and insurance payments.

Qualifications

Education : High School Diploma or GED required; some college preferred.

Experience : A minimum of 2 years in insurance follow up and insurance collections.

Experience in reading EOB’S is a must.

Experience in appeals in a high-volume claims environment.

Communicates clearly and concisely, verbally and in writing, establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.

Prior experience working with commercial payers such as UHC, Cigna, Aetna, BCBS, Marketplace

Demonstrate excellent problem-solving and negotiating skills.

Ability to sustain prolonged sitting and extended computer use. Requires working under some stressful conditions to meet deadlines and to make quick decisions.

Require hand-eye coordination and manual dexterity.

Additional Information

Pay Range : $19 - $22 per hour

Status : Full time, non-exempt