Insurance Collections Specialist

Insurance Collections Specialist – Behavioral Health

Exact Billing Solutions (EBS) | Lauderdale Lakes, FL

Base pay range：$58,240 - $64,480 per year

Exact Billing Solutions specializes in revenue cycle management for substance use disorder, mental health, and autism care. With proprietary billing processes, EBS drives improved cash flow and operational efficiency for partner healthcare providers.

You will serve as the primary contact between insurance carriers and our client organizations, ensuring optimal collections and adherence to payer guidelines.

• Review and manage assigned accounts receivable inventory to ensure timely follow‑up on outstanding claims.
• Investigate and resolve denials, rejections, and underpayments by working directly with payors and internal teams.
• Submit corrected claims, appeals, and additional documentation to secure reimbursement.
• Document all collection activities clearly and accurately within the systems.
• Monitor payer trends and report recurring issues to leadership.
• Meet or exceed daily, weekly, and monthly productivity and quality standards.
• Support special projects and process improvement initiatives as assigned.
• Maintain effective communication with third‑party insurance carriers.
• Generate reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, and daily census.
• Escalate any payer or client claim issues to department leadership.
• Update patient demographics and insurance information as needed.

• Review and manage assigned AR inventory to ensure timely follow‑up on outstanding claims.
• Investigate and resolve denials, rejections, and underpayments by working directly with payors, and internal teams.
• Submit corrected claims, appeals, and additional documentation as required to secure reimbursement.
• Document all collection activities clearly and accurately within our systems.
• Monitor payor trends and escalate recurring issues to leadership.
• Meet or exceed daily, weekly, and monthly productivity and quality standards.
• Support special projects and process improvement initiatives as assigned.
• Maintain effective communication with third‑party insurance carriers.
• Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
• Track status claims and add notes in the patient accounting system (Collaborate
  
  MD).
• Escalate any payor or client claim issues to department leadership.
• Establish/maintain effective communications with the leadership team to ensure all third‑party guidelines are satisfied.
• Update patient demographics and insurance information as needed.
• Ability to meet KPI established metrics for productivity.

• Associate’s degree (preferred).
• Three years of behavioral health out‑of‑network billing experience.
• Proficient with Collaborate
  
  MD EMR and billing software.
• Experience with ABA therapy preferred.
• Knowledge of CPT and ICD‑10 codes preferred.
• Claims denial experience with follow‑up from payers, including appeals.

• 21 paid days off (15 days of PTO, increasing with tenure, plus 6 holidays).
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
• Medical, dental, vision, long‑term disability, and life insurance.
• Generous 401(k) with up to 6% employer match.

Integrity. Dependability. Attention to detail. At Exact Billing Solutions we prioritize people over numbers, enabling our clients to spend more time helping those in need.

Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program.