Accounts Receivable Specialist

Action Behavior Centers•Austin, TX

4h•Hybrid

About The Position

Our story began in 2017 in Austin, TX, starting with humble roots but big aspirations. From 1 center in North Austin, our movement has inspired thousands of clinicians and operators. Today, the ABC community is 10,000+ strong, serving thousands of children with ASD. We have an intentional focus on our core values, with each center purpose-built and each community of teammates nurtured. We are seeking highly organized and experienced Accounts Receivable Specialists to join our growing team. This role reports directly to the Accounts Receivable Manager & Director. In this position, you will support the operations and overall financial health of the company, while working alongside other teams within our revenue cycle management department to identify, quantify, and resolve outstanding payer issues, trends, and overdue receivables. The ideal candidate will have a minimum of 3+ years of experience working in various medical specialties, with a background in third party billing/revenue cycle management.

Requirements

Ability to work independently with minimal supervision and manage multiple priorities in a remote work environment.
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.
High School Diploma required.
In-depth knowledge of medical and insurance terminology and guidelines.

Nice To Haves

Experience working both in and out of network environments is a plus.
Bachelor’s degree in business/management or related area (or equivalent experience in revenue cycle management) preferred.
Austin, TX candidates preferred but will consider remote work for applicants with the right background.
Experience working in Central Reach practice management system preferred.
Experience working in Applied Behavioral Analysis preferred.

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.

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
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, take on more responsibilities, and show what you can do!
401K Retirement Plans with company matching