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Substance Abuse Collections Specialist

Solutions Recovery
Boca Raton, FL Full Time
POSTED ON 5/2/2026
AVAILABLE BEFORE 7/2/2026

Substance Abuse Collections Specialist

Company: Lotus Billing

Location: Boca Raton, FL (On-site preferred; remote considered for the right candidate)

Pay: $20.00–$26.00 per hour, plus performance bonus

Job Type: Full-time

About Us

Lotus Billing is a specialized revenue cycle management partner serving substance use disorder (SUD) and behavioral health treatment providers. We pride ourselves on aggressive, ethical collections that maximize recovery for our client facilities while maintaining strong payer relationships.

Position Summary

We’re looking for a driven Collections Specialist to manage aging accounts receivable for SUD treatment claims. You’ll work directly with commercial insurance carriers, negotiate resolutions on outstanding balances, and play a key role in our clients’ financial health. Experience in SUD/behavioral health collections is a major plus, but we’re open to candidates at all levels who bring tenacity and attention to detail.

Key Responsibilities

  • Follow up on outstanding insurance claims (commercial, PPO, out-of-network) for detox, residential, PHP, IOP, and OP levels of care
  • Call insurance carriers (BCBS, Aetna, Cigna, UHC, Humana, etc.) to resolve unpaid, underpaid, and denied claims
  • Work denials and submit timely, well-documented appeals
  • Negotiate single case agreements (SCAs) and reimbursement when appropriate
  • Identify trends in payer behavior and escalate systemic issues
  • Maintain detailed notes in the billing system on every account touched
  • Meet or exceed monthly collection goals (bonus tied to performance)

Qualifications

  • High school diploma or equivalent; associate’s or bachelor’s a plus
  • Experience in medical collections, insurance follow-up, or SUD/behavioral health billing preferred — but we’ll train the right person
  • Familiarity with UB-04 and HCFA-1500 claim forms a plus
  • Knowledge of EOBs, denial codes, and the appeals process
  • Experience with Availity, CollabMD, KIPU, and Optum Pay is a plus
  • Strong phone presence, professional written communication, and the patience to spend hours on hold without losing your edge
  • Comfortable working independently and hitting goals

Compensation & Benefits

  • $20–$26/hr based on experience
  • Performance-based monthly bonus
  • Health insurance: 60% employer-paid, up to $600/month
  • 3 weeks total paid time off annually (2 weeks vacation 1 week sick)

To Apply

Submit your resume through really.

Pay: $20.00 - $26.00 per hour

Benefits:

  • Health insurance
  • Paid time off

Experience:

  • Behavioral Health Collections: 1 year (Preferred)

Work Location: In person

Salary : $20 - $26

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