Medical Collector at Butterfly Effects in FL - Corporate - Deerfield Beach

Job description

• Make a Difference. Grow Your Career. Join a Mission-Driven Team.
• Are you ready to bring your expertise in medical collections to a purpose-driven healthcare organization? Do you take pride in delivering outstanding service and clear communication to the families you support?
• Butterfly Effects, a national ABA-informed therapy provider, is seeking a dedicated Medical Collections Specialist to join our team. This role plays a vital part in ensuring accurate, timely collection and resolution of outstanding payer balances while providing exceptional service to our families across the country.
• As a Medical Collections Specialist, you will support our national collections efforts in a fast-paced, multi-position environment with a focus on accuracy, professionalism, and responsiveness. You'll manage assigned accounts, research and resolve denied or underpaid claims, and maintain compliance with payer guidelines and HIPAA regulations. This role requires a highly organized, detail-oriented, and confident individual with strong problem-solving skills and a collaborative mindset.

Responsibilities

• Verify client demographics, authorizations, CPT codes, and claim details related to denials or underpayments.
• Research claims using insurance portals, Central Reach, and EOBs to determine resolution paths.
• Review clearinghouse activity for denials and manage resubmissions or corrections.
• Collaborate with the billing team to correct and resubmit denied claims due to billing errors.
• Identify timesheet, coding, or documentation issues, and escalate for resolution.
• Track and report payer trends, recurring denials, or discrepancies; recommend action plans to management.
• Respond to incoming calls and correspondence from payers regarding account status.

Requirements

• High School Diploma or GED required.
• 1-2 years of experience in medical billing and/or collections.
• Strong understanding of claim denials, EOBs, and medical billing processes.
• Excellent verbal and written communication skills.
• Strong attention to detail and organizational skills.
• Self-motivated, accountable, and team-oriented.
• Critical thinker with a desire for process improvement.
• Familiarity with ABA therapy or behavioral health billing preferred.

Skills

Required

• Medical billing
• Claim denials
• EOBs
• Insurance portals
• Central Reach
• Clearinghouse activity
• CPT codes
• HIPAA regulations