Collections Specialist

Responsibilities include, but are not limited to, 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. Claim follow up will be conducted weekly, ensuring that accurate payments are received in a timely manner.

Good verbal and written communication are required. Record keeping must be accurate and thorough. Flexibility with schedule so you can meet critical deadlines as established.

• Review data on insurance policies to ensure accurate claim processing and payment.
• Accurately utilize the billing system.
• Create and submit claims if needed.
• Ensure corrected claims are submitted in a timely manner if needed.
• Follow-up with claims on a weekly basis, ensuring claims are received in atimely manner
• Prepare materials for submission to insurance companies as requested.
• Ensure unprocessed claims are followed up on timely.
• Develop and submit appeals, including supporting documentation as needed.
• Contact clients to collect on outstanding account balances. Process and send statements as needed.
• 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 and keep desk clean and organized.
• Maintain accurate and thorough records.
• Demonstrate the ability to act as a team player in a professional and positive manner.
• Perform other duties as assigned by supervisor

• Proficient in MS Office applications, which include Outlook, Word, Excel, and PowerPoint.
• Ability to build and sustain trusting relationships with diverse individuals and groups.
• Ability to maintain confidentiality of sensitive information and adhering to ethical standards.
• Actively offering assistance to team members when needed and celebrating team achievements collectively.
• Ability to establish and maintain cooperative relationships with community-based organizations, patients, families, vendors, and other resources to promote client services, care, education, and advocacy.

• 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.
• Coding/Billing Certificate from an accredited institute or school preferred.
• 1-year minimum healthcare experience with billing or insurance verification required.
• Experience with behavioral health treatment preferred.
• Knowledge of SUD, IOP, and Mental Health programs.
• Knowledge and experience with EMR and billing software programs required.
• Knowledge and experience with Medics software a plus.

The physical demands outlined here represent those that are typically required of an employee to successfully perform the essential functions of this position. Reasonable accommodation may be made to enable individuals with disabilities to perform these essential functions.

While performing the duties of this job, the employee is regularly required to do the following:

• Engages in sustained power grasping and pushing/pulling motions
• Exposure to dust, gas, odors, liquids, or fumes
• Intermittent lifting and carrying up to 40 pounds, transporting object usually by hand, arm, or shoulder
• Working with hands:
  Seizing, holding, and grasping
• Able to lift by raising or lowering an object from one level to another
• The ability to respond quickly to emergency situations, which may involve running or moving rapidly.
• Frequent standing and walking for extended periods, often throughout the entire shift.
• Potential exposure to infectious diseases, blood borne pathogens, and hazardous materials, requiring adherence to safety and PPE protocols.

As a condition of employment, all candidates must agree to and sign a pre-employment arbitration agreement. This agreement requires that any disputes arising out of or related to employment with Discovery Practice Management will be resolved through binding arbitration rather than through litigation in court.

Reference Number: 1904

City, State:
Irvine, CA

Employment Type:

Full-Time

Pay Range: $25.00 - $28.00

Virtual:
No

Company:
Discovery Behavioral Health

Location:

DBH

We value our employees, which is why we provide ways to help their personal needs and professional growth