Aba Ar Collections Specialist

Summary

Join Spectrum Billing Solutions, a leading revenue cycle management company, as an ABA AR Collections Specialist. This remote/hybrid position focuses on optimizing healthcare reimbursements through insurance collections. You will manage all aspects of revenue cycle collections, including denial management, appeals, and reimbursement rate negotiation. The role requires extensive experience in ABA AR collections and revenue cycle management, along with strong communication and problem-solving skills. Spectrum offers a competitive salary, healthcare benefits, a 401k plan, flexible PTO, and growth opportunities within a close-knit team.

Requirements

• 3+ years of experience in ABA AR collections
• Experience in all aspects of Revenue Cycle Management
• 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)

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

Preferred Qualifications

Experience in Behavioral and/or Mental Health billing

Benefits

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