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ABA Insurance Collections Specialist

Company: Spectrum Billing Solutions
Location: Skokie
Posted on: April 1, 2021

Job Description:

Spectrum Billing Solutions is a Revenue Cycle Management (RCM) company for behavioral healthcare companies. The Company is currently looking to add an ABA Insurance Collections Specialist to its growing team.

The ABA Insurance Collections Specialist will use their advanced 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, reimbursement rate negotiation and accounts receivable collections.

Responsibilities:

  • Research and resolve insurance denials
  • File appeals on denied or underpaid claims
  • Check claim status on appropriate payor systems and contact insurances as needed
  • Send Medical Records and other documentation to payors as requested
  • Follow up with patients and payors for payments
  • Negotiate out-of-network reimbursement rates with insurances
  • Review of Accounts Receivable Aging reports
  • Meet daily, monthly and quarterly billing metrics
    Qualifications:

    • 3+ years of experience in ABA billing and collections
    • Experience in all aspects of Revenue Cycle Management
    • Experience in Behavioral and/or Mental Health billing preferred
    • Knowledge of Commercial Insurance and Government Payor guidelines
    • Understanding of insurance benefits and reimbursement
    • Proficient in medical terminology, HIPAA and other critical governmental regulations
    • Organized and detail-oriented
    • Ability to multi-task and meet deadlines
    • Ability to comprehend various insurance documentation, analyze and reconcile accounts and follow detailed procedures in an organized and efficient manner
    • Superior communication, problem-solving and follow-up skills
    • Strong computer skills (Word, Excel, billing software)
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Keywords: Spectrum Billing Solutions, Skokie , ABA Insurance Collections Specialist, Accounting, Auditing , Skokie, Illinois

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