Hospital Collections Specialist

JOIN OUR TEAM AS A HOSPITAL COLLECTION SPECIALIST!

Status: Full-Time (On-site only - no remote)

Bonus Opportunity: MONTHLY INCENTIVE ELIGIBLE

Your Work Matters How will you make a difference?

This Hospital Collection Specialist is responsible for posting all payments received from patients, insurance companies and third parties and will document payments into the patient accounting system. The position is located in a central business office environment for a freestanding psychiatric hospital organization.

The Hospital Collection Specialist is responsible for assisting with the timely follow-up and collection of behavioral health and chemical dependency claims for Inpatient and Outpatient levels of care to ensure the reimbursement of claims from various insurance companies.

PRIMARY RESPONSIBILITIES

• Pull remits manually and electronically for deposits daily.
• Accurately post payments and/or denials via ERA, EFT, and paper remits appropriately to accounts and balance payments posted back to the original deposit amounts.
• Identify payor issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management.
• Maintain and balance cash log daily to treasury.
• Researches and resolves unapplied and/or unidentified cash receipts.
• Identifies allowances, deductibles and co-insurance and ensures accurate posting.
• Scans and uploads supporting documentation as needed.
• Investigates all insurance recoupments to determine if they are correct or need to be appealed.
• Runs electronic deposit reports and processes payments.
• Review and interpret insurance carrier explanation of benefits (EOB) to post appropriate payment and denial codes.
• Enter/correct charges for outpatient services.
• Code and post all receivables from insurance companies, and third-party payors on patient accounts.
• Identify payor issues proactively in relation to zero payment, payment variance, billing, and denials with a high degree of accuracy and report to Management.
• Performs account follow-up on outstanding balances and takes the necessary action for account resolution in accordance with established federal and state regulations.
• Ensure the coordination of claim activities on various insurance portals and via phone to check claim status and resolve claim issues.
• Assist to resolve credit balances with insurance company & patients.
• Research and resolve insurance denials.
• Maintain third-party logs.
• Assist daily with benefit verifications for all new admissions as well as in-house patients.
• Able to read and understand an EOB.

Your Experience Matters What we're looking for:

• Education & Licensure (if applicable): High school graduate or equivalent preferred.
• Experience: A minimum of one (1) years' experience in facility billing experience with knowledge of Medicare DDE and computerized systems strongly preferred, 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 Skill Requirements: Knowledge of Microsoft Office including word, excel, and outlook. Excel-lent communication skills and a professional demeanor is needed. Detail oriented and possessing strong time management skills is necessary in order to manage multiple priorities in a fast-paced environment. May be required to work occasional overtime and 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 + discounted meals
• 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: Select benefits are available to full-time positions only. Benefits are subject to change at the discretion of Hospital for Behavioral Medicine.

Compensation:

This is a full-time role and the expected compensation range is $24.00 - $28.00 hourly and a monthly incentive bonus plan! We're eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Hospital Collection Specialist!

Get to know us Outstanding Care, Compassionate People, Unparalleled Service

Discover a fulfilling career at Hospital for Behavioral Medicine (HBM)!

Welcome to the heart of mental health treatment innovation in Worcester, MA! HBM, a cutting-edge 120-bed inpatient facility, is the leading provider of exceptional therapeutic care, prioritizing patient comfort and safety. In proud collaboration with UMass Memorial Health Care, our facility is conveniently situated near the UMass Memorial Medical Center, allowing us to serve the community with unwavering dedication.

At HBM, we go beyond inpatient care by offering an outpatient partial hospitalization program, ensuring continuous support while respecting the rhythm of daily lives. Our commitment to accessible care knows no bounds, as we emphasize availability irrespective of one's ability to pay.

Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.

To learn more about HBM, visit us at:

TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.

I ndividuals M aintaining P ositive A ttitude and C ommitment T o S ervice

At Hospital for Behavioral Medicine, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.