Collections Specialist job vacancy in Promises Behavioral Health – Jobs in Brentwood, TN 37027

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We got a new job details in Promises Behavioral Health & they are Hiring Candidates for Collections Specialist

Job Details
Company Name :
Promises Behavioral Health
Company Location :
Brentwood, TN 37027
Job Position :
Collections Specialist
Job Category :
Jobs in California

Job Description :
JOB SUMMARY
The Collection Specialist is responsible for collections activities with insurance companies and has a fundamental working knowledge of payer policies and procedures. This role requires a high level of customer service and the ability to establish relationships with payers.
JOB RESPONSIBILITIES

Work outstanding accounts daily according to established metrics and requirements.
Follow-up and monitoring of assigned claims, documenting all actions in the billing system.
Regularly conducts outreach to payers and/or clients to obtain updates and obtain any needed information or take appropriate action (i.e. research, review of available documents, interdepartmental communication) to facilitate payment.
Reviews and determines accuracy of data; when billing errors are identified, work with the appropriate billing specialist for correction and rebill.
When medical records requests and appeals are needed, communicate within and across departments to facilitate.
Submit transaction requests-transfer of outstanding balances to self-pay, application of unassigned funds, or transfer of outstanding balance to IPC- to management after all expected insurance payments have been made to accounts and a balance remains.
Notify cash posting team of any cash posting discrepancies or missing payments for correction.
Assist Customer Service/Refund department with any claim status requests.
Special projects or other duties as assigned.
Run daily and/or monthly reports as requested.
Complete all tracking logs daily, weekly, monthly, and/or other specified timeframe.
Communicate effectively with all facilities and/or other department personnel when needed to ensure timely claim collection and to assist in solving identified problems.
Adhere to all regulatory and compliance standards, such as HIPAA and 42 CFR Part 2.
Other duties and special projects as assigned.

JOB QUALIFICATIONS

Education:

High school diploma or equivalent

Experience:

Minimum 3 years’ experience in medical billing collections or other equivalent experience, with 5 years’ behavioral health and/or substance abuse billing experience preferred.

Knowledge/Skills
/Abilities
:

Ability to effectively and efficiently identify, analyze, and resolve issues causing insurance claims to not be paid as well as related policies and procedures.
Accuracy and attention to detail.
Excellent interpersonal skills and ability to effectively work with and present to others in a team setting.
Self-sufficient, ability to be productive with minimal oversight.
Working knowledge of billing system(s) and clearinghouse.
Knowledge of financial contracts, Explanations of Benefits (EOBs), practice management billing systems.
Basic/intermediate computer skills.
Intermediate to advanced experience with Microsoft Excel.
Ability to write routine to complex correspondence and reports.

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