Cove Behavioral Health ยท 18 hours ago
Collections Specialist
Cove Behavioral Health is seeking a Collections Specialist with a strong background in medical collections to join their team. This role involves recovering outstanding balances while maintaining positive relationships with payers and patients, requiring a proactive and solution-oriented approach.
Health CareNon Profit
Responsibilities
Research, resolve, and appeal denied or underpaid claims efficiently
Navigate Medicaid, Medicare, and commercial insurance portals to verify claim statuses and submit corrections
Ensure compliance with state and federal billing regulations while maximizing reimbursement
Work closely with the billing team to identify trends in denials and implement solutions
Maintain detailed and accurate documentation of collection activities and payer communications
Qualification
Required
2+ years of medical collections experience in a healthcare setting
Strong knowledge of insurance claims processing, Medicaid, Medicare, and commercial payers
Proficiency in Trizetto and Methosoft (or similar medical billing software)
Ability to problem-solve, negotiate, and think critically in challenging collection scenarios
Exceptional communication and customer service skills with the ability to work effectively with insurance representatives and internal teams
Detail-oriented with strong organizational skills and the ability to manage multiple accounts
Company
Cove Behavioral Health
Cove Behavioral Health has proudly served Hillsborough, Polk and surrounding counties over the past 50 years.