ABA AR Collections Specialist

Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to hire a passionate and skilled ABA AR Collections Specialist who will use their skills and knowledge to ensure optimal reimbursement by performing insurance collections. This role includes all aspects of revenue cycle collections including denial management, appeals, reimbursement rate negotiation, and accounts receivable collections.

This is a remote/hybrid position.

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 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)

At Spectrum, you receive:

A close-knit team of talented and skilled individuals.

Growth opportunities within the organization.

Competitive salary.

Healthcare benefits including medical, dental & vision

401K Plan

Flexible PTO

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