What You Will Do

• Serve as the first point-of-contact for team members needing assistance with their day-to-day claim follow-up and questions.

• Provide continuous education and mentorship to peers.

• Share expertise, best practices, and strategies for effective collection and claim follow up.

• Ensure accurate documentation of collection activities.

• Assist team members with proper record-keeping practices and ensuring collection processes are followed as outlined in the organization's SOP. Help team members set and achieve their individual performance goals.

• Collaborate with insurance providers to monitor outstanding claim status and navigate resolution steps.

• Investigate outstanding A/R accounts, determine the cause of the delinquency, and collect payments

• Submit and re-submit claims and conduct follow-up calls ensuring thorough documentation.

• Review all documentation the client provides and identify discrepancies

• Contribute to the preparation and the assignment of collection work queues.

• Perform daily QA reviews on AR Specialists quantity and quality of work on their assigned accounts.

• Identify trends and conduct root cause analyses on unpaid and underpaid claims.

• Create monthly reports using Excel that outline insurance denial trends and share with internal management.

• Achieve performance goals or objectives (individual or departmental) as established by the Manager.

• Maintain HIPAA and compliance standards to preserve patient confidentiality.

• Other tasks as needed and assigned.

What it Takes to Join the Family

• 3-5 years of experience working in accounts receivable in the behavioral healthcare space.

• Leadership expertise and capabilities required. Manage critical deadlines and keen attention to detail.

• Strong problem-solving skills with analytical and critical thinking abilities.

• Two year of Behavioral Health experience preferred including EMR/EHR knowledge (Kipu, BestNotes).

• Ability to manage critical deadlines with a self-motivated attitude and ability to multi-task.

• Must be resourceful, persistent, and an excellent problem solver

• Strong written and verbal communication skills

• Ability to function well in a fast-paced and at times stressful environment.

• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.