- 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
- Verifies insurance payment is in alignment with payer contract by reviewing the contract status log and EOB received
- Research and resolve insurance denials
- Identify reason for claim rejections and complete proper action to ensure timely billing
- Maintain third-party logs
- Able to read and understand an EOB
- Monitors and/or follows up on accounts with precise documentation and calculations.
- Utilizes the previous documentation comments in order to follow up in the appropriate manner.
- Meet daily collection goals
- Resolve credit balances with insurance company timely and accurately
- Works with Coders and Billers to ensure the accuracy of claims
- Supports leadership with daily, weekly monthly reporting needs as required
- Education: High School graduate or equivalent preferred.
- Experience: At least one (1) year experience in a health care collections 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. Excellent communication skills and a professional demeanor is needed. Detail-oriented and strong time management skills is necessary to manage multiple priorities in a fast-paced environment. May be required to work occasional overtime and flexible hours.
- 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
- Employee engagement events
- Employee assistance program
- Employee recognition program
- Free parking
- 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 northstar and yours, anchoring our collective purpose and aspirations
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Collection Specialist - Lacey, United States - South Sound Behavioral Hospital
Description
Job DetailsJob Location
South Sound Behavioral Hospital - Lacey, WA
Position Type
Full Time
Salary Range
$ $23.00
Job Shift
Day
Job Category
Finance
Position Summary
JOIN OUR TEAM AS A COLLECTION SPECIALIST
Your Work MattersHow will you make a difference?
The Collection Specialist is responsible for 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. The position is located in a central business office environment for a freestanding psychiatric hospital organization. This position is the main point of contact between the facility, insurance companies, and third-party payers to resolve all outstanding owed balances. Candidate will use their skills and knowledge to follow up on claims to ensure timely and appropriate collections. This role includes all aspects of revenue cycle collections including denial management, appeals, and accounts receivable collections. Must have expertise with all managed care contracts, government intermediaries, and has knowledge of current regulatory requirements to ensure prompt and accurate reimbursement.
Compensation:
This is a full-time role, and the expected compensation range is $ $23.00 per hour. We're eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Collection Specialist
About SSBH
Get to know us Outstanding Care, Compassionate People, Unparalleled Service
Welcome to South Sound Behavioral Hospital (SSBH), where passion meets purpose in the realm of mental health and substance use disorder treatment.
Our 138-bed facility located in Lacey, WA, SSBH is the newest behavioral health facility in the area equipped with cutting-edge safety features to ensure a secure and supportive environment for both our employees and our patients. At SSBH, our expert team, including licensed psychiatrists, compassionate nurses, skilled therapists, and adept technicians, is united by a singular commitment - to deliver exceptional care to every individual, regardless of their financial circumstances. We offer specialized programs to create a haven for patients to embark on their healing journey in utmost comfort.
Join us in our transformative mission to redefine mental healthcare through person-centered care. Your unique skills and boundless compassion have the power to profoundly impact the lives of those in need. If you are ready to contribute to a community that values excellence and empathy, seize this opportunity to apply and become a catalyst for positive change at South Sound Behavioral Hospital.
To learn more about SSBH, visit us at:
TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.
Individuals Maintaining Positive Attitude and Commitment To Service
South Sound Behavioral Hospital values a diverse, inclusive workforce and provides 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.