Collections Specialist

**Role:** Collection Specialist **Location:** Hybrid in NYC, Philadelphia, and Denver, or Remote **Employment Type:** Full\-Time **About Us** We are building the next generation of Electronic Health Records (EHR) and practice management tools for Behavioral Health providers. We empower clinicians and admin teams with intuitive software that simplifies care delivery, improves outcomes, and supports sustainable growth. Backed by top\-tier investors, we’re scaling quickly and on a mission to transform behavioral health. **Role Overview** We're looking for a detail\-oriented and driven Collections Specialist to join our Revenue Cycle Management team. This role is responsible for hands\-on insurance AR follow\-up, denial management, and resolution of outstanding balances across all payers, levels of care, and states. The Collections Specialist is a skilled individual contributor who owns their assigned AR work queues, follows up on outstanding claims with urgency and precision, identifies barriers to payment, and escalates complex accounts appropriately. You will work closely with every role in the RCM team to resolve issues affecting collections and contribute to a high\-performing, collaborative revenue cycle operation. **Key Responsibilities** Insurance AR Management * Perform insurance AR follow\-up across all payers including commercial insurance, Medicaid, and Medicare * Work outstanding claims systematically by payer, age, and dollar threshold to maximize collections * Monitor assigned aging AR buckets (30/60/90/120\+ days) and follow up within payer timelines and appeal deadlines * Identify and escalate claims at risk of timely filing expiration and take corrective action * Conduct payer correspondence, claim status inquiries, and follow\-up calls with insurance companies to resolve outstanding balances Denial Management * Review, categorize, and work denied claims within assigned queues in a timely manner * Identify denial trends in assigned accounts and communicate patterns to the team lead or manager * Prepare and submit appeals for denied claims including clinical appeals, administrative appeals, and escalated payer disputes * Coordinate with the UR Specialist on authorization\-related denials and peer\-to\-peer review support * Coordinate with the Billing Specialist on coding, billing configuration, and submission errors driving denials * Track appeal submissions and outcomes within the billing system Cross\-Functional Coordination * Work closely with the Billing Specialist to resolve claim submission errors, re\-billing needs, and payer\-specific billing issues driving denials or non\-payment * Partner with the UR/Authorization Specialist to address auth\-related denials, retro\-auth opportunities, and continued stay gaps * Collaborate with the Posting Specialist to flag payment posting discrepancies and identify underpayments or short pays requiring follow\-up * Communicate root cause findings to team leadership when systemic front\-end issues are identified Qualifications **Required*** 2\+ years of healthcare collections or AR experience, preferably in a behavioral health or mental health setting * Experience working collections across multiple levels of care (OP, IOP, PHP, Residential, Detox) * Working knowledge of denial management and appeals processes, including payer\-specific escalation pathways * Experience with commercial insurance, Medicaid, and Medicare AR across multiple states * Understanding of payer timely filing limits, appeal deadlines, and collections compliance requirements * Proficiency with practice management or billing software and AR reporting tools * Strong attention to detail and ability to manage a high\-volume AR work queue Preferred * Experience working in a SaaS, health tech, or billing services environment supporting multiple clients * Knowledge of mental health parity laws and their application in the appeals process * Familiarity with EDI 835 remittance data and using ERA data to identify underpayments * Certified Revenue Cycle Professional (CRCP), Certified Professional Biller (CPB), or similar credential a plus **What Success Looks Like*** Assigned AR is worked consistently, with aging above 90 days minimized and accounts touched within appropriate timelines * Denials are appealed timely, tracked accurately, and patterns are surfaced to the team * Cross\-functional teammates receive accurate, timely information needed to resolve upstream issues * Leadership has confidence that assigned work queues are owned and moving forward **Compensation** We offer competitive compensation packages, including strong cash salaries benchmarked against top startups at our stage, along with comprehensive healthcare benefits.