Insurance Collections Specialist

Insurance Collections SpecialistFranklin, TNOverviewLevel: Experienced Position Type: Full Time Education Level: High School Category: FinanceDescriptionOdyssey Behavioral Healthcare operates a national network of specialized treatment centers for mental health conditions, substance use disorders, and eating disorders. We offer a complete continuum of care — from inpatient to intensive outpatient programs — along with detox services and transitional housing to support each stage of recovery.What We OfferCollaborative environment dedicated to clinical excellenceMultiple Career Development PathwaysCompany Supported Continuing Education & CertificationMultiple Health Plan Design Options AvailableFlexible Dental & Vision Plan Options100% Company Paid EAP Emotional Well-Being Support100% Company Paid Critical Illness (with health enrollment plan)100% Company Paid Life & ADD401K with Company MatchCompany-Sponsored HSA, FSA, & DSA Tax Savings AccountsGenerous Team Member Referral ProgramParental LeavePosition SummaryThe Insurance Collections Specialist is responsible for identifying, analyzing, and resolving insurance account balances to ensure accurate and timely payment processing. This role supports financial integrity by reducing outstanding receivables and communicating with payers.Relationships and ContactsWithin the organization: Maintains close and frequent contact with the finance and revenue cycle team members within both the facility-based teams and Odyssey.Outside the organization: Maintains close and frequent contact with insurance providers and third-party vendors, as necessary.Position ResponsibilitiesEssential Responsibilities1. Processes outstanding insurance claims to point of resolution.2. Tracks insurance appeals needed throughout the appeals process.3. Processes coordination of benefit and coverage termed issues.4. Reports insurance reimbursement trends and barriers to leadership.5. Manages aging reports and prepares patient balance statements as necessary.6. Reviews Explanation of Benefits (EOBs) and payment postings to validate overpayments and support refund decisions.7. Ensures compliance with all federal, state, and payer-specific refund regulations and timelines.8. Researches and resolves issues related to overpayments, incorrect payments, or duplicate payments.9. Maintains strict confidentiality of all patients financial and healthcare information.Additional Responsibilities1. Abides by all company policies and procedures.2. Performs other duties and projects, as assigned.QualificationsMinimum RequirementsEducation and Experience: Position requires a high school diploma, bachelor's degree preferred, and two (2) years of directly related experience.Physical RequirementsWhile performing the duties of this job, the employee will be required to communicate with peers/public, clients and/or vendors.Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time.While performing the duties of this job, the employee may be required to talk or hear, sit, stand, or walk.Skill CompetenciesDemonstrates strong problem solving and analytical skillsDemonstrates strong customer service skillsDemonstrates proficiency with Microsoft Office (Word and Excel)Demonstrates excellent organizational and time management skillsDemonstrates successful collaborative skills working with a variety of groupsDemonstrates strong attention to detailDemonstrates functional knowledge of basic behavioral health terminologyDemonstrates familiarity with insurance billing policies and practicesDemonstrates commitment to the vision and values of Odyssey Behavioral HealthcareOdyssey Behavioral Healthcare, LLC and its subsidiaries provide equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the right to modify, interpret, or apply this job description in any way the organization desires. This job description is not an employment contract, implied or otherwise. The employment relationship remains "At-Will."