Medical Billing, AR and Contracts Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Take ownership of and oversee daily, weekly, and monthly billing and accounts receivable functions.

• Manage the complete billing cycle for all payers.

• Submit claims, record payments, reconcile accounts, and update tracking documents.

• Review accounts receivable and actively follow up on unpaid balances.

• Analyze and address claim denials, rejections, and underpayments.

• Conduct charge validations, corrections, and ensure data integrity checks.

• Maintain reports on hours, payments, revenue, accounts receivable, and payer performance.

• Communicate with funders to establish and oversee Single Case Agreements.

• Investigate and pursue new contracting possibilities with prospective funders.

• Build and nurture professional relationships with representatives from funding organizations.

• Prepare for and assist with audits related to insurance, internal processes, FSO, and charge validations.

• Ensure adherence to payer, contractual, organizational, and regulatory standards.

• Lead the review of the discharge process and oversee billing closure.

• Maintain billing workflows across NPA and SimplePractice platforms.

• Provide support for appointment verification, billing preparedness, and system troubleshooting.

• Identify inefficiencies in workflows and implement enhancements for processes.

• Develop and refine standard operating procedures related to billing and accounts receivable.

• Collaborate with Clinical, Contract Fulfillment, Accounting, Administration, and Operations teams.

• Assist with co-pay and co-insurance billing, respond to client billing inquiries, manage payment plans, and provide billing education.

• Professionally and confidentially handle escalated client and payer billing inquiries.

⛳️ Requirements

• High school diploma or GED is required; an Associate’s or Bachelor’s degree is preferred.

• 3+ years of experience in medical billing or accounts receivable is essential.

• Experience in an ABA or behavioral health environment is strongly preferred.

• Must have reliable internet access, a personal work computer, and a professional remote work setup.

• Availability to work from 9:00 am to 5:30 pm Pacific Time, with flexibility for evening hours during peak times.

• Consistency in working within the Pacific Time Zone is required.

• Strong skills in Excel, including formulas, pivot tables, data analysis, and tracking.

• Familiarity with billing systems and EHRs, such as NPA, SimplePractice, or similar platforms.

• Proficient in Microsoft Office and Google Workspace.

• Strong organizational, analytical, and problem-solving abilities.

• Excellent written and verbal communication skills are necessary.

• Ability to manage sensitive and confidential information with care.

• Capability to juggle multiple priorities, deadlines, and stakeholders simultaneously.

🏝️ Benefits

• 6 paid holidays after one year of employment.

• Accrued sick time.

• Opportunities for shadowing and hands-on mentorship.

• Medical, dental, and vision insurance for employees working 30+ hours per week.

• 401(k) retirement plan available for those who have accrued 1000 hours of service within 12 months.

• Aflac supplemental insurance options for employees working 30+ hours per week.

• LifeCare Employee Assistance Program offering free confidential counseling, referrals, and wellness resources.

• LifeMart Employee Discount Program.

• Tuition and scholarship discounts available through partner universities.

• Opportunities for long-term career development, training, and growth.