Collections Specialist

Collections Specialist Position Summary: We are seeking a skilled and driven Collections Specialist with experience in both medical claims billing and AR follow-up. This is a remote position. Accountable for managing the full spectrum of revenue cycle activities from insurance claim submission, follow-up, and appeals to robust collections on outstanding accounts within a behavioral health setting. Key Responsibilities: Claims Management Monitor claim status and timely resubmit corrected or appealed claims to maximize reimbursement. Work denials and underpayments investigate payor responses, correct errors, and reprocess as needed. Maintain detailed claim logs, documentation, and daily status reports. Accounts Receivable & Collections: Track accounts receivable aging and proactively follow up on unpaid or overdue claims. Communicate professionally with insurance carriers to resolve claim issues and negotiate payment when necessary. Initiate patient and third-party follow-up for collection of unpaid balances. Record and reconcile insurance and patient payments accurately. Report on collection activity and account status to leadership. Qualifications: 23+ years of experience with medical billing, claims follow-up, and collections preferably in behavioral or mental health settings. Proficiency in working with insurance carriers and resolving complex payor issues. Strong attention to detail and analytical skills for tracking accounts receivable and denials. Excellent communication skills (written and verbal). Proficient with Microsoft Excel and billing/EMR systems (experience with Collaborate MD and Sunwave or similar software is a plus). Ability to manage multiple workflows and deadlines independently. Preferred: Knowledge of CPT, ICD-10, and healthcare reimbursement rules. Experience with appeals, corrected claims, and payer negotiations. Benefits: Health Insurance Dental Insurance Vision Insurance Paid Time Off 401k Work Environment: Full-time, Remote Pay: From $50,000.00 per year

Created: 2026-03-10