ABA AR Collections Specialist

2 days ago

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Spectrum Billing Solutions

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Spectrum Billing Solutions is a company that offers industry-leading revenue cycle management services tailored for healthcare providers. They provide a comprehensive suite of services including verification of benefits, utilization review, billing, insurance collections, and patient collections. Spectrum is renowned for its ability to maximize reimbursement through persistent claims management and its strong focus on customer service. Their innovative dashboard reporting further empowers clients to make informed decisions and improve operations. With a focus on customization and efficiency, Spectrum Billing Solutions acts as a strategic partner to its clients, aiming to enhance their financial standing and streamline their operations.

51 - 200 employees

⚕️ Healthcare Insurance

💸 Finance

🤝 B2B

📋 Description

• 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

🎯 Requirements

• 3+ years of experience in ABA AR 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)

🏖️ Benefits

• Competitive salary. • Healthcare benefits including medical, dental & vision • 401K Plan • Flexible PTO