Join a mission-driven healthcare organization supporting families across the country. Butterfly Effects is seeking a Medical Collections Specialist to help manage outstanding payer balances in a fast-paced, multi-position environment. The role focuses on accuracy, professionalism, responsiveness, and compliance while working closely with the billing team and payers to resolve denials and underpayments.
You will manage assigned accounts, research claim issues, track payer trends, and help improve collections processes while delivering exceptional service to families.
Requirements & Qualifications
Responsibilities
- Verify client demographics, authorizations, CPT codes, and claim details related to denials or underpayments.
- Research claims using insurance portals, Central Reach, and EOBs to determine resolution paths.
- Review clearinghouse activity for denials and manage resubmissions or corrections.
- Collaborate with the billing team to correct and resubmit denied claims due to billing errors.
- Identify timesheet, coding, or documentation issues and escalate for resolution.
- Track and report payer trends, recurring denials, or discrepancies, and recommend action plans.
- Respond to incoming calls and correspondence from payers regarding account status.
Qualifications
- High School Diploma or GED required.
- 1-2 years of experience in medical billing and/or collections.
- Strong understanding of claim denials, EOBs, and medical billing processes.
- Excellent verbal and written communication skills.
- Strong attention to detail and organizational skills.
- Self-motivated, accountable, and team-oriented.
- Critical thinker with a desire for process improvement.
- Familiarity with ABA therapy or behavioral health billing preferred.
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 months ago