What are the responsibilities and job description for the Billing & Collections Specialist position at Compassion Behavioral Health?
We're looking for an experienced insurance Collector. The Collections Specialist will be responsible for performing typical collection functions such as claim status, working the A/R, filing corrected claims, filing appeals as needed and posting payments.
Responsibilities:
- Review data on insurance policies to ensure accurate claim processing and payment.
- Ensure that any corrected claims are submitted in a timely manner.
- Prepare materials for submission to insurance companies as requested.
- Ensure that open claims are followed up timely.
- Create and submit status reports on a weekly basis.
- Develop and submit appeals, including necessary supporting documentation, as required for claims reimbursement.
- Reprocess any underpaid claims.
- Maintain confidentiality of patient care and business.
- Demonstrate strong, professional communication and interpersonal skills with clients, public, managers and co-workers.
- Perform general office duties as needed.
- Maintain accurate and thorough records.
- Demonstrate the ability to act as a team player in a professional and positive manner.
QUALIFICATIONS:
- 2-3 years experience and knowledge of medical claims. Self-starter with strong billing, coding, and claims follow-up skills.
- Behavioral health / mental health service line and billing experience preferred
- Experience communicating with payers to resolve issues.
- Proficient with Excel and data analysis
- Ability to navigate occasionally complex workflows.
- Strong attention to detail.
- Technically savvy with claims billing software and Microsoft Office, KIPU OR other EMR systems with a desire to learn new software as well.
- Strong communication and interpersonal skills.
- Experience with CollaborateMD a plus!!!!
