Claims Collection Specialist

About the role

We are looking for a Claims Collection Specialist in Franklin, TN. Join Acadia Healthcare as an important member of a team dedicated to supporting quality patient care through effective revenue cycle management.

Responsibilities

• Call and status outstanding claims with third party payors
• Review claims issues, make corrections as needed, and rebill
• Utilize claims clearing house to review and correct claims and to resubmit electronically when available
• Review explanation of benefits to ascertain that claim processed and paid correctly
• Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation
• Manage daily productivity via patient accounting system and productivity reports
• Prorate patient accounts and monitor that balance due is in the correct financial class
• Weekly reporting to BOD an overview of the week and participate in AR meetings
• Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment
• Performs other essential duties as assigned

Requirements

• High school diploma or equivalent
• Experience with Medicare preferred
• Minimum 5 years of job-related experience preferred
• Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint
• Knowledge of office administration procedures with the ability to operate most standard office equipment
• Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality
• Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external
• Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level
• Self-motivated with strong organizational skills and superior attention to detail
• Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes
• Capable of working within established policies, procedures and practices prescribed by the organization
• English sufficient to provide and receive instructions/directions
• Physical/Mental Requirements: Must be able to perform essential functions listed on the job description, with or without reasonable accommodation

Benefits

• Competitive Base Salary commensurate with experience
• Comprehensive Medical, Dental, and Vision Insurance
• 401(k) Plan with Company Match
• Paid Time Off (PTO) and recognized holidays
• Company-paid Basic Life and AD&D Insurance
• Employee Assistance Program (EAP) and mental wellness resources
• Opportunities for professional growth and advancement within Acadia’s nationwide network