Medical Collections Specialist

Job Description

Job Description

Make a Difference. Grow Your Career. Join a Mission-Driven Team.

Are you ready to bring your expertise in medical collections to a purpose-driven healthcare organization? Do you take pride in delivering outstanding service and clear communication to the families you support?

Butterfly Effects , a national ABA-informed therapy provider, is seeking a dedicated Medical Collections Specialist to join our team. This role plays a vital part in ensuring accurate, timely collection and resolution of outstanding payer balances while providing exceptional service to our families across the country.

About the Role

As a Medical Collections Specialist, you will support our national collections efforts with a focus on accuracy, professionalism, and responsiveness. You'll manage assigned accounts, research and resolve denied or underpaid claims, and maintain compliance with payer guidelines and HIPAA regulations. This role requires a highly organized and detail-oriented individual with strong problem-solving skills and a collaborative mindset.

Key Responsibilities

• Verify client demographics, authorizations, CPT codes, and claim details related to denials or underpayments.
• Research claims using insurance portals, Central Reach, and EOBs to determine resolution paths.
• Review clearinghouse activity for denials and manage resubmissions or corrections.
• Collaborate with the billing team to correct and resubmit denied claims due to billing errors.
• Identify timesheet, coding, or documentation issues, and escalate for resolution.
• Track and report payer trends, recurring denials, or discrepancies; recommend action plans to management.
• Respond to incoming calls and correspondence from payers regarding account status.

Qualifications

Who We Are :

Since 2005, Butterfly Effects has supported over 15,000 families through our compassionate, family-centered ABA therapy. Our mission is to partner with families affected by autism to help children live more joyful, independent lives. Our name and butterfly logo symbolize transformation, growth, and love-core values that guide everything we do.

Learn more at www.butterflyeffects.com.

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Job Posted by ApplicantPro