Insurance Collections Specialist

Odyssey Behavioral Healthcare operates a national network of specialized treatment centers for mental health conditions, substance use disorders, and eating disorders. We offer a complete continuum of care - from inpatient to intensive outpatient programs - along with detox services and transitional housing to support each stage of recovery.

What We Offer

• Collaborative environment dedicated to clinical excellence
• Multiple Career Development Pathways
• Company Supported Continuing Education & Certification
• Multiple Health Plan Design Options Available
• Flexible Dental & Vision Plan Options
• 100% Company Paid EAP Emotional Well-Being Support
• 100% Company Paid Critical Illness (with health enrollment plan)
• 100% Company Paid Life & ADD
• 401K with Company Match
• Company-Sponsored HSA, FSA, & DSA Tax Savings Accounts
• Generous Team Member Referral Program
• Parental Leave

Position Summary

The Insurance Collections Specialist is responsible for identifying, analyzing, and resolving insurance account balances to ensure accurate and timely payment processing. This role supports financial integrity by reducing outstanding receivables and communicating with payers.

Relationships and Contacts

Within the organization: Maintains close and frequent contact with the finance and revenue cycle team members within both the facility-based teams and Odyssey.

Outside the organization: Maintains close and frequent contact with insurance providers and third-party vendors, as necessary.

Position Responsibilities

Essential Responsibilities

1. Processes outstanding insurance claims to point of resolution.

2. Tracks insurance appeals needed throughout the appeals process.

3. Processes coordination of benefit and coverage termed issues.

4. Reports insurance reimbursement trends and barriers to leadership.

5. Manages aging reports and prepares patient balance statements as necessary

6. Reviews Explanation of Benefits (EOBs) and payment postings to validate overpayments and support refund decisions

7. Ensures compliance with all federal, state, and payer-specific refund regulations and timelines

8. Researches and resolves issues related to overpayments, incorrect payments, or duplicate payments

9. Maintains strict confidentiality of all patients financial and healthcare information.

Additional Responsibilities

1. Abides by all company policies and procedures.

2. Performs other duties and projects, as assigned.

Minimum Requirements

Education and Experience

Position requires a high school diploma, bachelor's degree preferred, and two (2) years of directly related experience

Physical Requirements

• While performing the duties of this job, the employee will be required to communicate with peers/public, clients and/or vendors
• Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time
• While performing the duties of this job, the employee may be required to talk or hear, sit, stand, or walk

Skill Competencies

• Demonstrates strong problem solving and analytical skills
• Demonstrates strong customer service skills
• Demonstrates proficiency with Microsoft Office (Word and Excel)
• Demonstrates excellent organizational and time management skills
• Demonstrates successful collaborative skills working with a variety of groups
• Demonstrates strong attention to detail
• Demonstrates functional knowledge of basic behavioral health terminology
• Demonstrates familiarity with insurance billing policies and practices
• Demonstrates commitment to the vision and values of Odyssey Behavioral Healthcare

Odyssey Behavioral Healthcare, LLC and its subsidiaries provide equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the right to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains "At-Will."