Accounts Receivable Specialist

Athena CareNashville, TN
Onsite

About The Position

Athena Care is on a mission to expand access to quality mental health services, with every team member playing a meaningful role. The Accounts Receivable Specialist is a detail-oriented billing professional who takes ownership, leads with integrity, and thrives on solving complex insurance challenges, aligning with the company's commitment to patients and team. This role is crucial for resolving outstanding insurance claims by navigating payer portals, submitting appeals, coordinating with coding teams, and communicating directly with insurers to ensure accurate, persistent, and ethical pursuit of every balance. The work directly supports patients' access to care, a responsibility taken seriously by the organization.

Requirements

  • High school diploma or GED required
  • Prior experience in a customer-facing role required
  • Solid working knowledge of insurance processes, payer requirements, and benefit structures
  • Ability to read, interpret, and clearly explain EOBs from a variety of insurance carriers
  • Skilled at identifying denial root causes and determining the most effective resolution path
  • Proficient with Microsoft Word, Excel, and internet-based payer portals
  • Strong multitasking ability with the capacity to work independently and manage competing priorities
  • An empathetic communicator — assertive and effective with insurers, while remaining patient-centered and compassionate in every interaction
  • A collaborative spirit and genuine investment in the success of teammates and the patients we serve

Nice To Haves

  • Associate's or bachelor's degree preferred
  • 3+ years of accounts receivable experience in a medical practice billing office strongly preferred
  • Experience working with eClinicalWorks (eCW) strongly preferred

Responsibilities

  • Proactively review and manage outstanding insurance claims to determine appropriate next steps and drive resolution — holding yourself accountable to timely, thorough follow-through
  • Identify claim denials and execute the proper course of action, including appeals, reconsiderations, reprocessing requests, and corrected claim submissions
  • Partner analytically with coding staff to communicate claim correction needs and ensure accurate, timely resubmission
  • Conduct frequent, professional outreach to insurance payers via phone and portal, advocating with integrity on behalf of our patients
  • Research and interpret Explanations of Benefits (EOBs) to validate payments and identify discrepancies
  • Serve as a knowledgeable, empathetic resource for patients and staff with questions about balances and claims status — always leading with compassion
  • Collaborate across departments as a true team player, supporting a seamless billing workflow and helping teammates succeed
  • Remain nimble and adaptable as processes evolve, contributing to a culture of continuous improvement
  • Perform additional duties as assigned to support the broader billing team
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