Insurance Claims Resolution Specialist

Every Claim Has a Reason It Hasn’t Paid. Find It. At My Psychiatrist, we’re looking for an Insurance Collections Specialist who knows how to work an account beyond the first follow-up. Denials. Underpayments. Missing information. Payer discrepancies. Aging balances. You investigate what stopped reimbursement, determine the next action, and stay with the account until there is a clear resolution. This isn’t simply collections. It’s investigation. Problem-solving. Payer follow-through. Revenue recovery. Because the goal isn’t activity. The goal is resolution. The Role As an Insurance Collections Specialist at My Psychiatrist Headquarters in Hollywood, Florida, you’ll take ownership of assigned insurance accounts receivable and work them strategically toward resolution. You’ll investigate unpaid and underpaid claims, resolve denials, identify reimbursement discrepancies, communicate with insurance carriers, prepare appeals when necessary, and ensure recoverable revenue doesn’t remain sitting in aging. This role requires someone who knows how to read the history of an account, identify what went wrong, and determine what needs to happen next. Why This Opportunity My Psychiatrist is a growing, physician-led behavioral health organization bringing together: Psychiatry | Therapy | Psychological & Neuropsychological Testing | TMS & Neuromodulation | SPRAVATO® | Patient Operations Everything we build is grounded in one belief: Exceptional patient care happens when clinical excellence, operational precision, and human connection work together. Revenue Cycle is part of making that possible. Every claim resolved, denial overturned, and underpayment recovered strengthens the financial infrastructure supporting our providers, patients, and continued growth. Build expertise, not just experience. You’ll have the infrastructure and benefits to support you along the way: Competitive compensation Medical, dental, and vision insurance 401(k) with company match Paid time off + paid holidays Structured onboarding and training Ongoing professional development Collaborative, physician-led behavioral healthcare environment Opportunities for growth within Revenue Cycle Management Revenue Cycle may happen behind the scenes, but its impact is felt throughout the organization. As My Psychiatrist continues expanding across Florida, so do opportunities within Revenue Cycle and healthcare operations. What You’ll Own Insurance Accounts Receivable & Claims Resolution Manage assigned insurance A/R from initial follow-up through final resolution Investigate unpaid, rejected, denied, and underpaid claims Contact insurance carriers to obtain detailed claim status and reimbursement information Determine the appropriate next action based on payer responses, claim history, EOBs/ERAs, documentation, and account activity Maintain disciplined follow-up until payment, adjustment, appeal, or another documented resolution is reached Prevent accounts from sitting untouched or becoming unnecessarily aged Denial Management & Appeals Identify the root cause behind claim denials and payment delays Research payer policies, claim requirements, and reimbursement issues Correct claim discrepancies and coordinate resubmissions when appropriate Prepare and follow up on appeals Identify recurring denial patterns and escalate systemic issues to leadership Help reduce preventable denials through thoughtful analysis and feedback Underpayment & Reimbursement Review Investigate reimbursement discrepancies and suspected underpayments Compare payer responses, EOBs/ERAs, and account history to determine whether additional reimbursement may be due Follow up with payers regarding incorrect or incomplete payments Escalate contractual or payer-specific reimbursement trends when identified Aging & Revenue Recovery Prioritize accounts based on aging, balance, payer, and recovery opportunity Work aging A/R consistently and strategically Identify accounts requiring immediate escalation or additional research Maintain ownership of unresolved balances rather than relying on repetitive status calls Help reduce outstanding A/R and recover revenue that may otherwise be lost Documentation & Account Integrity Document every meaningful payer interaction, account action, and next step clearly and accurately Maintain organized account histories that support efficient future follow-up Ensure documentation meets departmental and organizational standards Protect patient information and maintain HIPAA compliance throughout all collection activities Cross-Functional Problem Solving Partner with Revenue Cycle, Practice Operations, Credentialing, Patient Access, and other internal teams when an account requires information or corrective action outside of Collections Identify workflow gaps contributing to reimbursement delays Communicate recurring payer issues and operational barriers Contribute to process improvements that strengthen reimbursement performance To Be Qualified for This Position, You Have: We’re looking for someone who combines financial accuracy with investigative persistence. Required 1–2+ years of experience in insurance collections, medical billing, accounts receivable, or healthcare Revenue Cycle operations Hands-on experience following up on unpaid, underpaid, and denied insurance claims Working knowledge of insurance reimbursement processes and medical billing workflows Experience reviewing Explanation of Benefits (EOBs) and Remittance Advice (RAs) Understanding of insurance accounts receivable and aging Experience using EHR, practice management, or medical billing systems Ability to investigate reimbursement discrepancies and determine appropriate next steps Strong analytical and problem-solving skills High attention to detail and financial accuracy Strong documentation, communication, and follow-through Ability to manage an assigned workload and prioritize accounts effectively Preferred Experience with payer appeals and denial management Knowledge of ICD-10 and CPT coding Knowledge of insurance carrier guidelines and reimbursement requirements Behavioral health or outpatient physician-practice Revenue Cycle experience Experience identifying and pursuing payer underpayments Associate’s or bachelor’s degree in Healthcare Administration, Business, Finance, or a related field Beyond experience, we’re looking for someone who: Investigates before assuming Follows through until there is a clear resolution Knows the difference between activity and results Escalates intelligently when something isn’t working Maintains accuracy even when volume is high Welcomes accountability and measurable performance Because in Revenue Cycle, what doesn’t get investigated often doesn’t get collected. What Success Looks Like Your assigned accounts move toward resolution Unpaid claims don’t sit untouched Denials are investigated and addressed Underpayments are identified and pursued Appeals are submitted accurately and followed through Aging balances move in the right direction Recurring payer issues are identified instead of repeatedly worked one claim at a time Leadership has visibility into barriers affecting reimbursement Claims move forward Revenue is recovered That’s the standard of Insurance Collections we’re building here. Our Selection Process Qualified candidates will progress through: 1. Video Interview — Talent Acquisition 2. Video Interview — Hiring Manager 3. Final In-Person Interview — Revenue Cycle Leadership Don’t Just Work the Account. Solve It. Anyone can check a claim status. The value comes from knowing what to do next. And what will actually move the account toward resolution? That’s the difference between working a queue and owning Revenue Cycle performance. If you enjoy finding answers… If you know how to stay persistent without sacrificing accuracy… And if you’d rather be measured by what gets resolved than how many accounts you touched… We should talk. See Yourself Here? If you have hands-on insurance collections or medical A/R experience and know how to turn unresolved claims into measurable results, reach out directly to Diana Paul at View email address on click.appcast.io . #J-18808-Ljbffr My Psychiatrist, LLC