Note: The job is a remote job and is open to candidates in USA. Action Behavior Centers is a growing company dedicated to providing ABA therapy for children with autism. They are seeking highly organized and experienced Accounts Receivable Specialists to support the operations and financial health of the company, focusing on resolving outstanding payer issues and managing medical receivables.
Responsibilities
- Contact insurance carriers daily to follow up on past due amounts on outstanding medical claims by calling carriers, utilizing payer web portals, and working in tandem with your team
- Have a working knowledge of In and Out of Network reimbursement processes/methodologies
- Investigate and resolve claims that have been submitted to insurance for payment and create detailed follow-up notes that provide summary of actions taken and collection status
- Investigate and collect information related to claims denials and determine when it’s appropriate to file reconsiderations and/or appeals needed to contest incorrect insurance determinations
- Collaborate daily with other departments within RCM to resolve claims processing issues and work to ensure timely processing and reimbursement of assigned insurance carriers
- Work with AR Management to identify and resolve outstanding payer issues and trends as they arise and be able to effectively handle insurance claims specialists with a strategic and systematic approach
- Provide high quality customer service to our clients, including but not limited to, calling clients to discuss their insurance coverage, coordination of benefits, lapses in coverage and more
- Comply with and maintain integrity of confidential information, security policies, procedures, and PHI
Skills
- High School Diploma required
- Minimum of 3+ years of experience working in various medical specialties
- Background in third party billing/revenue cycle management
- In-depth knowledge of medical and insurance terminology and guidelines
- 2+ years of experience managing medical receivables with a track record of success
- Strong analytical and mathematical skills with the ability to identify trends and opportunities for process improvement
- Ability to communicate clearly and effectively, both written and orally
- Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community
- Experience using Excel; from basic formulas up to compiling ad-hoc reports for global claims projects
- Ability to work within multiple systems to locate information needed to support claims research and resolution
- Bachelor's degree in business/management or related area (or equivalent experience in revenue cycle management)
- Austin, TX candidates preferred but will consider remote work for applicants with the right background
- Experience working in CentralReach practice management system
- Experience working in Applied Behavioral Analysis
- Experience working both in and out of network environments is a plus
Benefits
- 10 Days of PTO, 10 Paid Holidays, 2 Flex Days + More with Tenure
- Student Loan Repayment Employer Contributions
- Maternity/Paternity Award of up to $3,000 & FSA Options for Childcare
- Door Dash Pass, Team Happy Hours, and Regional Night of Honors
- Up to $600 Student Loan Repayment Options & Tuition Discounts.
- Quarterly Team outings and events to bond and celebrate our wins both big and small!
- Professional development: we want to pour into you as you pour into ABC
- Leadership opportunities: To be the best, we have to continually keep learning and you get to push yourself here to learn more and take on more responsibilities, and show what you can do!
- 401K Retirement Plans with company matching
Company Overview
Company H1B Sponsorship