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Collections Specialist

Company: College Recovery LLC
Location: Fairfield
Posted on: August 7, 2022

Job Description:

Job Title: Collections Specialist
Reports To: Financial Recovery Manager
Shifts Available: Full-Time
Salary Range: $60K-$65K

Position Overview:
The Collections Specialist will assist in monitoring payments made to the organization and determine reasons of underpayment or denial in order for resubmission. The Collections Specialist will act when needed on following up and preparing denial appeals to various insurance companies. They will also assist with research and take action and initiative when necessary to resolve issues with claims and improve overall collections across all programs SOBA New Jersey offers.
Duties and Responsibilities:

Prepare and submit claim appeal letters for various insurance companies
Identify claim errors for correction and resubmission to insurance companies
Analyze Explanation of Benefits, denials, and understand copays, coinsurance, deductibles, and denial codes
Coordinate and document status of appeals until final resolution
Track and monitor increases and/or decreases in revenue due to claims submission and/or appeals
Follow up on open and pending claims to facilitate uninterrupted cash flow as well as payment errors, low reimbursements, and any denials
Identify problems with utilization review, collection systems, and consult with management regarding potential solutions
Understand the regulatory issues surrounding collections
Perform eligibility and benefits checks when necessary
Answer questions and resolve issues presented by management, as appropriate
Comply with local, state, and federal confidentiality laws and regulations
Demonstrate sensitivity and responsiveness to cultural differences
Abide by SOBA New Jersey's code of ethics and moral values


1 year of experience in Out of Network Collections, required
Bachelor's Degree, preferred

Keywords: College Recovery LLC, New York , Collections Specialist, Accounting, Auditing , Fairfield, New York

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