Accounts Receivable and Collections Specialist

Role Overview

• Submit accurate and timely claims for services through RADIAS Health’s HER/Credible system.
• Monitor accounts receivable aging and actively work unpaid, denied, or underpaid claims
• Identify and resolve claim denials, rejections, and payment discrepancies
• Ensure billing compliance with various pay providers
• Maintain accurate documentation to support audits, payer reviews, and internal controls
• Post payments, adjustments, and recoupments accurately and in a timely manner
• Conduct respectful, client‑centered collections outreach consistent with RADIAS Health’s mission and financial policies
• Coordinate payment plans and financial assistance processes as appropriate
• Maintain thorough notes and records of collections and follow‑up activity
• Maintain accurate A/R aging, account notes, and supporting documentation
• Assist with month‑end closing activities, reconciliations, and reporting
• Prepare and review reports related to collections performance, denial trends, and payer activity
• Maintain competencies in software and websites for the agency's current electronic health record, state provider portals, and insurance provider portals
• Collaborate with clinical, operations, billing/credentialing, and finance teams to resolve eligibility, authorization, and documentation issues
• Maintain current knowledge of service billing regulations and payer requirements
• Support continuous improvement of revenue cycle workflows and processes
• Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations

Requirements

• Associate’s degree or higher in accounting, finance, or related field preferred
• Minimum two (2) years of accounts receivable, billing, or collections experience in a healthcare or behavioral health setting
• Experience with Medicaid, Medicare, or managed care billing
• Proficiency with EHR systems, preferably Credible and Microsoft Excel
• Strong attention to detail, organization, and follow-through
• Ability to handle confidential financial and client information with discretion
• Behavioral health, mental health, healthcare, or substance use disorder billing, accounts receivable/collections experience preferred
• Familiarity with Minnesota DHS/MHCP billing, authorizations, and managed care contracts
• Experience in a nonprofit or community-based healthcare organization

Benefits

• 4 weeks accrued PTO first year of employment
• 12 paid holidays
• Medical, dental, vision, life insurance
• Health Saving Accounts (HSA) + employer contribution and Flexible Saving Accounts (FSA)
• Tuition reimbursement and Student Loan Repayment Assistance
• Dependent Care Account (DCA) + employer contribution
• Reimbursement for professional licensure fees
• Routine supervision from a Mental Health Professional, with access to licensure supervision opportunities
• 403b retirement plan with an employer percentage match
• Employer paid short-term and long-term disability insurance
• Bereavement and paid parental leave
• Employee Assistance Program (EAP)
• Wellness program to support employee overall health and well-being
• Variety of discounts through ADP LifeSmart
• Pet insurance
• Mileage reimbursement
• Casual dress code