Billing and Collections Specialist

Benefits Medical, Dental, Behavioral Health Service Discounts Life and Disability Insurance AFLAC Sick Time Vacation Time 10.5 Paid Holidays 401(k) matching Dental insurance Health insurance Vision insurance Horizon Health is seeking a full-time Billing and Collections Specialist . This position manages complex billing operations, resolves escalated claims issues, analyzes denial trends, and often provides mentorship to associates, playing a critical role in the healthcare organization’s financial integrity and revenue cycle management of the organization as directed by the Billing Manager. Successful candidates for the Billing and Collections Specialist should be passionate about providing high-quality, patient-centered care. Applicants must reside in the state of SD, NE, IA, ND, MT, or ND. Any applications received outside of these approved states will not be reviewed. Key Responsibilities Process Improvement & Analysis: Monitor and analyze claim rejection trends, recommend and implement corrective actions, and develop or revise office procedures to enhance operational efficiency and maximize reimbursement. Denial Management and Appeals: Investigate and resolve denied or unpaid claims, identify the root cause of denials, and draft detailed appeal letters with supporting documentation. Accounts Receivable (A/R) Management: Assist the Billing Manager in monitoring and reconciling A/R reports, follow up on outstanding balances from insurance companies and patients, and manage delinquent accounts for collections when necessary. Our Culture Horizon Health’s culture is built on the Non‑Negotiable attributes of Respect, Teamwork, Accountability, Integrity, Professionalism, and being Rurally Focused — ensuring every team member upholds these attributes daily. The organization values all contributions equally, supports individual growth, and aims to be your "forever employer" that enhances both employee satisfaction and community health outcomes. #J-18808-Ljbffr