Insurance Collections Specialist

Company DescriptionTherapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D, since 2006. At Therapy & Beyond we approach the needs of each patient both individually and as part of a dynamic interdisciplinary team working with experts in applied behavior analysis (ABA) therapy, speech-language pathology, occupational therapy, and counseling. We love helping individuals reach their full potential by supporting not only the patient but also their family. We are passionate about what we do while remaining true to our defining core values of: Putting People First, Doing Our Best Together, Making Therapy Fun, and Above All, We grow potentialJob DescriptionThe Insurance Collections Specialist is responsible for the collection of insurance claims. Essential to this position is the ability to manage all insurance follow-ups for maximum insurance reimbursement. To include outbound and inbound insurance carrier calls, reprocessing claims, drafting appeals, working denials, and resolving unpaid claims.JOB-SPECIFIC FUNCTIONS:Understanding and staying informed of the changes in procedures, billing guidelines, and laws for specific insurance.Initiating collection follow-up on all unpaid or denied claims with appropriate insurance carriers.Research, appeal, and resolve unpaid insurance claims.Actively follow up and collect on all electronic claims, including resolution of any billing errors assigned following established procedures.Respond to correspondence from insurance carriers.QualificationsEducation: High School Diploma or GED required; some college preferred.Experience: A minimum of 2 years in insurance follow-up and insurance collections.Experience in reading EOBs is a must.Experience in appeals in a high-volume claims environment.Communicates clearly and concisely, verbally and in writing, establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.Prior experience working with commercial payers such as UHC, Cigna, Aetna, BCBS, MarketplaceDemonstrate excellent problem-solving and negotiating skills.Ability to sustain prolonged sitting and extended computer use. Requires working under some stressful conditions to meet deadlines and to make quick decisions. Require hand-eye coordination and manual dexterity.Additional InformationWHY YOU WILL LOVE WORKING AT T&B!Generous benefit Package:Medical, Dental, Vision, and DisabilityCompany Paid- Life Insurance401K with company matchCompany Paid Short-Term DisabilityHSA and FSA optionsPaid Maternity/Paternity LeaveEmployee Assistance ProgramEmployee Recognition

Created: 2025-02-07