Insurance Collector — Substance Abuse Treatment Facility

company

About Health Care Alliance NA

Health Care Alliance North America (HCANA) started with Oasis Recovery Center in Asheville, NC. Our founders wanted to create an addiction treatment center that treated clients as individuals, casting aside the impersonal and apathetic approaches used by other providers, including the recovery centers they attended themselves. Four years later, as Oasis Recovery was established as a leader in the recovery community, our founders knew the next step was to increase our services to reach people who needed urgent help across all levels of care, and HCANA was born.

Since 2018, HCANA has opened a dedicated detox facility in Asheville near Mission Hospital, a 24/7 residential treatment center in Knoxville, TN, and a holistic and adventure-based treatment center in Ocoee, TN. As we expand, we are dedicated to ensuring that our services maintain the same quality and individualized care across all our centers. Every aspect of treatment is intentional, from our clinicians customizing treatment plans and empathizing with clients to the joyful conversations and snacks our transportation providers gladly offer as they take clients to and from the centers.

role

Position Summary

The Insurance Collector is responsible for managing and collecting outstanding insurance receivables for a substance abuse treatment facility. This position works closely with insurance companies, admissions, billing, and management to ensure claims are accurately processed and payments are received in a timely manner.

The ideal candidate has strong knowledge of healthcare insurance billing and collections, excellent attention to detail, strong communication skills, and the ability to work with sensitive patient and financial information in a professional and confidential manner.

Essential Duties and Responsibilities

- Review insurance accounts and outstanding receivables to identify unpaid, underpaid, denied, or delayed claims.
- Follow up with commercial insurance companies regarding outstanding claims.
- Contact insurance companies to determine claim status, payment status, denial reasons, and required documentation.
- Research and resolve claim denials, underpayments, billing errors, and payment discrepancies.
- Submit corrected claims, reconsiderations, appeals, and supporting documentation as appropriate.
- Maintain accurate and timely documentation of all collection activity in the billing system.
- Verify patient insurance benefits and eligibility when necessary to support collection efforts.
- Review Explanation of Benefits (EOBs), remittance advice, and payer correspondence for accuracy.
- Identify authorization, eligibility, documentation, and other issues that may prevent payment.
- Communicate with internal departments to obtain documentation or information needed to resolve claims.
- Protect patient confidentiality and comply with HIPAA and other applicable privacy requirements.
- Meet established productivity, collection, and accounts-receivable performance expectations.
- Assist with special billing and collection projects as assigned.

Qualifications

Required:

- High school diploma or equivalent.
- Previous experience in healthcare insurance billing, accounts receivable, or collections.
- Knowledge of insurance claims, EOBs, denials, appeals, and payment processing.
- Strong attention to detail and organizational skills.
- Excellent verbal and written communication skills.
- Ability to work independently while also collaborating effectively with a team.
- Proficiency with computers, Microsoft Office, and electronic billing/medical record systems.
- Ability to maintain strict confidentiality regarding patient and financial information.

Key Skills

- Insurance collections
- Healthcare accounts receivable
- Claims follow-up
- Denial management
- Appeals and reconsiderations
- Insurance verification and eligibility
- EOB/remittance review
- Problem solving
- Data entry and documentation
- Customer service
- Time management
- Attention to detail
- HIPAA compliance
- Professional communication

Physical and Work Requirements

- Ability to work for extended periods at a computer.
- Ability to communicate professionally by telephone, email, and written correspondence.
- Ability to manage multiple accounts and deadlines in a fast-paced healthcare environment.
- Ability to handle confidential and sensitive financial and patient information appropriately.

Performance Expectations

Success in this position will be measured by:

- Timely and accurate follow-up on outstanding insurance accounts.
- Reduction of aged accounts receivable.
- Successful resolution of denied and underpaid claims.
- Accurate account documentation.
- Consistent achievement of departmental collection goals.
- Compliance with facility policies, payer requirements, HIPAA, and applicable regulations.
- Professional and effective communication with payers and internal staff.