Collection Specialist

Are you an experienced behavioral health Medical Collections Specialist? Have you worked with in network and out of network accounts receivable? If so, you need to meet with at Exact Billing Solutions.

Your Position
As the behavioral health Medical Collections Specialist, you are responsible for effective communication and coordination with Insurance companies and clients to obtain the maximum benefits for our clients. You will establish relationships with insurance carriers and obtain accurate, detailed insurance benefit information by phone and via the internet. Claims follow-up will be standardized and structured ensuring that accurate payments are received in a timely manner. Good verbal and written communication are required. Record keeping must be accurate and thorough.

What You Will be Doing
• Maintain friendly, efficient, positive customer service attitude towards customers, clients, and co-workers.
• Be responsive to client needs and coworker’s needs
• Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc., in conjunction with the Departmental Director.
• Status claims and add notes in the patient accounting system (CollaborateMD)
• Maintain effective communication with third party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction
• Forward and escalate any payor or client claims issues to Department Leadership
• Establishes/maintains effective communications with the leadership team to ensure that all third-party guidelines are satisfied
• Update patient demographics and insurance information as needed

Additional Competencies
Integrity – Position requires being honest and ethical
Analytical Thinking - You’ll have to analyze info/data and use logic to address work-related issues and problems
Attention to Detail – The position thrives on details; you’ll need to be thorough in completing work tasks
Dependability – It goes without saying that you’ll need to be reliable, responsible, and dependable in order to fulfill work obligations
Stress Tolerance – You’ll have to be comfortable accepting criticism and dealing calmly and effectively with high-stress situations

Your Qualifications
• Medical Billing: 3-years' experience (preferred)
• Behavioral Health out-of-network billing: 3-years' experience.
• Basic understanding of insurance terminology (out-of-network benefit s vs. in-network benefits, as well as coinsurance, co-pays, and deductibles), in addition to general billing practices.
• Experience with behavioral health and ABA treatment preferred.
• Knowledge and experience with CollaborateMD EMR and billing software programs required.

Working Conditions
Candidates must meet the company’s hiring criteria to include a pre-employment background investigation and drug test. We are an Equal Opportunity Employer and a drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. Must be able to separate personal issues with work issues to ensure healthy relationships with clients.

All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, disability status or any other characteristic protected by law. We offer a competitive compensation and benefits package including a base salary with performance-based incentives, medical, deal, vision, short/long-term disability, life insurance and 401(k).
Staffing Agencies: Unsolicited resumes from search firms will not be honored as valid. Consequently, we politely ask agencies not to solicit our business managers directly as well. Thank you in advance.
Team Members excluded from Federal Healthcare Programs:
Exact Billing Solutions operates facilities that receive federal funding and may not employ or contract with an individual or entity that has been excluded from health care programs (for example, Medicare or Medicaid). Accordingly, if a team member or agent has been excluded from or is under investigation and may be excluded, they must notify a member of management immediately.