Insurance Collections Specialist

JOIN OUR TEAM AS AN INSURANCE COLLECTIONS SPECIALIST! Your Work Matters How will you make a difference? The Insurance Collections Specialist is a multi‑task position that covers all the main functions of the Business Office, which includes the following tasks: contacting commercial and managed Medicaid payors to collect on unpaid claims in a timely and accurate manner, submitting account corrections and adjustments, denial management, payment variance management, and appeal submissions when required. Works with management to identify trends and address root causes of issues in the A/R. This position involves collaboration with other team members and departments; communication is essential in this role as account resolution must occur within a timely manner. Job Related Skills Understanding of third‑party payor rules and regulations. Ability to read UB04 forms. Able to read and understand an EOB. Can take the necessary action for account resolution in accordance with established federal and state regulations. Can verify benefits via online portal or over the phone. Understand payor contracts and can verify the insurance company has paid correctly. Ability to identify next steps required when a claim has been denied/rejected. Excellent communication is needed to document accounts accurately. Strong organizational and communication skills. Strong ability to prioritize and efficiently manage time. Note: The essential job functions of this position are not limited to the duties listed above. Your Experience Matters What We’re Looking For Education: High school graduate or equivalent preferred. Experience: A minimum of one (1) year’s experience in a Mental health collections or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs (Excel) preferred. Additional Requirements: Knowledge of Microsoft Office including Word, Excel, and Outlook. Competence in basic PC skills required to perform job functions. Working knowledge of basic medical terminology. May be required to work flexible hours. Your Care Matters What We Provide For Our Team 401(k) + matching Health insurance 100% company‑paid life insurance coverage up to 2x your annual salary Vision insurance Dental insurance 100% company‑paid long‑term disability insurance Paid time off Paid Holidays Cafeteria on site + one free meal per day Employee engagement events Employee assistance program Employee recognition program Free parking What Sets Us Apart Career & training development opportunities Dynamic and inclusive work environment Engaged management team dedicated to your success A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations Disclaimer: Benefits are subject to change at the discretion of Ridgeview Institute Smyrna. Compensation This is a Full Time role and the expected compensation range is $20.00 to $26.00 . We’re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Insurance Collections Specialist! #J-18808-Ljbffr