Accounts Receivable Specialist

LittleStar ABA Therapy•Carmel, IN

5d•Hybrid

About The Position

The Accounts Receivable Specialist is responsible for handling all correspondence related to an insurance or patient account. This includes contacting insurance carriers, patients, and other facilities as needed to maximize payment on accounts and identify issues or changes to achieve client profitability. The role requires the ability to interpret and rectify denials. The specialist will research and resolve assigned accounts, make appropriate decisions to maximize reimbursement, and research and re-bill unpaid claims. They will also prepare paperwork for client pre-certification of services, research and resolve accounts appearing on Follow-up Reports, and correct errors on electronic error reports. The position involves participating in trainings and meetings with Payers, internal departments, other ABA owners, and Client contacts to address trends in denials or unprocessed claims. The specialist will assist in identifying billing issues specific to outstanding receivables, present data, and partner to develop resolutions. Daily production assignments will contribute to understanding processing guidelines and payer mix expectations. Maintaining insurance and client files, providing support to clients regarding insurance issues, and maintaining confidentiality of fiscal information and client information per LS policy and HIPAA regulations are key responsibilities. The role also requires acting as a positive role model, contributing to team spirit, adhering to LS policies and procedures, and performing other duties as assigned by supervisors. Communication with the Insurance Director, VP of Insurance, and Billing Manager regarding issues, information, and support needs is essential. The specialist will also prepare various reports for senior leadership.

Requirements

High School diploma or GED required.
1-2 years’ experience with insurance in a medical office setting strongly preferred.
Medical billing experience preferred.
Experience with Practice Management software.
Technology competent, including Microsoft Office, Accounts Payable, Quick Books, email, and Internet.
A positive team player and energetic professional.
Strong organizational habits with attention to detail and accuracy.
Good time management skills along with the ability to manage multiple tasks.
Ability to analyze/solve problems and work in a fast-paced environment.
Strong communication skills with ability to communicate appropriately given the circumstances of the situation and audience involved.
Discretion in matters that need to remain private.
Ability to work with a variety of people, both internal and external.
Must successfully pass the initial and updated criminal history, background, and record checks, which includes driving history checks.
Must wear appropriate Personal Protective Equipment (PPE), as provided by LittleStar, where physical distance cannot be attained.

Nice To Haves

1-2 years’ experience with insurance in a medical office setting
Medical billing experience

Responsibilities

Research and resolve accounts assigned by management, making appropriate decisions on accounts to be worked to maximize reimbursement.
Research and re-bill unpaid claims.
Prepare paperwork to submit to insurance for client pre-certification of services.
Research and resolve accounts appearing on Follow-up Reports.
Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked.
Correct all errors on electronic error reports using all available information.
Participate in trainings/meetings with Payers, internal departments, other ABA owners, and Client contact(s) to address trends in denials or unprocessed claims.
Assist in identifying current and/or potential billing issues specific to outstanding receivable.
Present data to appropriate parties and partner to develop resolutions.
Participate in daily production assignments that will continue to develop understanding and knowledge of processing guidelines and expectations of respective client(s) payer mix.
Maintain insurance and client files.
Provide support to clients regarding insurance issues.
Maintain confidentiality of center fiscal information.
Maintain client confidentiality per LS policy and HIPAA Privacy Rule Regulations.
Act as a positive role model for all staff, families and children working with LS and model a high standard of reliability, accuracy, integrity, and professionalism.
Work to positively impact team spirit and overall morale.
Adhere to all LS policies and procedures.
Perform other duties as assigned by supervisors.
Communicate issues, info and support needs to Insurance Director, VP of Insurance and Billing Manager.
Prepare various reports as needed for Insurance Director, CFO, VP of Insurance and Compliance Officer, and/or Chief Executive Officer.