Collections Specialist

Element Medical Billing is seeking a detail-oriented and motivated Collections Specialist to join our growing team. This position is responsible for following up on outstanding insurance claims, resolving denials, identifying billing issues, and ensuring timely reimbursement for substance abuse and mental health treatment services.

The ideal candidate is organized, persistent, and able to effectively communicate with insurance companies, facilities, and internal team members to maximize collections and maintain accurate accounts receivable.

Essential Responsibilities

Follow up on outstanding insurance claims and unpaid balances.

Investigate and resolve claim denials, rejections, and underpayments.

Communicate with insurance carriers regarding claim status and payment discrepancies.

Review accounts for billing errors and coordinate corrections as needed.

Ensure timely follow-up on assigned accounts to reduce aging receivables.

Document account activity accurately and thoroughly.

Work closely with billing, credentialing, and facility staff to resolve reimbursement issues.

Monitor payer trends and identify recurring denial patterns.

Meet productivity and collection goals while maintaining accuracy and compliance.

Maintain confidentiality and comply with HIPAA regulations.

Qualifications

Minimum 1 year of medical collections experience preferred.

Experience with behavioral health, mental health, or substance abuse billing strongly preferred.

Knowledge of commercial insurance claims processes.

Understanding of EOBs, claim denials, appeals, and reimbursement methodologies.

Strong analytical, problem-solving, and organizational skills.

Ability to manage multiple accounts and priorities effectively.

Proficient in Microsoft Office and medical billing software.

Excellent verbal and written communication skills.

Preferred Experience

Behavioral health or substance abuse treatment billing.

Insurance collections and denial management.

Electronic claims submission and payment posting.

Knowledge of payer regulations and authorization requirements.

About ELEMENT MEDICAL BILLING, LLC

We have an experienced and highly effective team of billing professionals dedicated to simplifying the complexities of medical billing, enabling healthcare providers to focus on what matters most: delivering exceptional patient care.