AR Specialist

This is a fully remote position, open to applicants in Alabama, +18 more states.

📋 Description

• Maintain strict confidentiality in accordance with HIPAA guidelines for all client-related information.

• Examine customer account reports and proactively address any flags or concerns, ensuring effective communication with the Customer Billing Advocate (CBA).

• Analyze A/R Aging Reports and liaise with insurance companies regarding anticipated reimbursements for outstanding claims.

• Document all follow-up actions on aging claims within the A/R Aging Reports as required and in compliance with standard operating procedures (SOPs).

• Fulfill deadlines for the completion of A/R Aging Reports for each customer within the designated POD.

• Immediately address denials and inform the CBA of any emerging trends.

• Follow up on any open A/R tickets in Salesforce as delegated by the CBA.

• Adhere to deadlines assigned for A/R tasks as specified by the CBA.

• Utilize denial management platforms to submit appeals, reconsideration requests, and other relevant documentation.

• Investigate specific billing regulations of payors as necessary.

• Follow up on electronically submitted claims for both primary and secondary payors.

• Resubmit corrected claims when required.

• Participate in POD meetings and contribute to agenda topics as directed by the CBA.

• Process payments or report any missing payments to the posting team, maintaining A/R as assigned.

• File appeals with insurance companies and insurance commissioners as needed.

• Stay updated on payor and industry billing regulations.

• Review and interpret payor contracts when applicable.

• Measure and track key performance metrics related to work output.

• Attend customer meetings as necessary alongside the CBA.

• Collaborate to achieve POD objectives as a unified team.

• Promote a positive workplace atmosphere for colleagues.

⛳️ Requirements

• High School Diploma or equivalent.

• Experience in ABA billing.

• A minimum of 1-year experience in billing, specifically with major commercial insurance companies and state Medicaid programs.

• Familiarity with using insurance company websites and portals.

• Proficient in Microsoft Suite (Outlook, Excel, Word).

• Eagerness to learn, a positive attitude, and an appreciation for challenges.

• Strong professional writing and telephone communication skills.

• This role necessitates exceptional attention to detail, critical thinking, and excellent communication with both internal teams and insurance companies.

• Bachelor’s degree is preferred.

• Experience in billing for Speech, OT, and Mental Health is preferred.

• At least 1-year experience in an office environment is preferred.

• A minimum of 1-year experience in a billing company setting is preferred.

• Familiarity with billing software, EMR, and clearinghouse systems (Rethink, Azalea, Tebra, Central Reach, Waystar, Trizetto, Availity) is preferred.

• Experience with denial management platforms (DocVocate) is preferred.

🏝️ Benefits

• Paid Time Off (PTO) and vacation days after a 90-day introductory period.

• Paid holidays.

• Comprehensive health, dental, and vision benefits package.

• 401k plan with matching contributions.