AR Insurance Specialist

Bierman Autism Centers•Indianapolis, IN

10h

About The Position

As a member of the Insurance AR Team, you will be laser-focused on closing the loop from unpaid or incorrectly processed claims by following the money and ensuring the organization collects every dollar earned. This role requires understanding the nuance and payer-specific tactics needed to turn aged receivables into resolved payments, executed with skill, consistency, and tenacity. Your efforts will ensure families continue receiving care for the recommended amount of time by securing correct and timely payer payments. Additionally, you will provide critical insight into payer trends, helping the organization identify errors and strengthen payer accountability, thereby protecting both the families served and the financial health of the company.

Requirements

Minimum 2-3 years of experience in healthcare services, with familiarity working with providers and third-party payors.
Strong organizational skills with a structured, detail-oriented approach; thrives in managing complex information.
Analytical mindset with the ability to make data-driven decisions.
Demonstrated ability to handle complex challenges with persistence and resilience until resolution.
Comfortable multitasking and managing multiple projects simultaneously in a fast-paced environment.
Clear and professional verbal and written communication skills; confident interacting with payors, including cold calling when necessary.
Proven problem-solving abilities with excellent time management and a track record of meeting deadlines.
Strong collaboration and teamwork skills while maintaining the ability to work independently.
Proficiency with Microsoft Office Suite.
Must have manual dexterity to perform specific computer and electronic device functions
Must have visual acuity to read and comprehend written communication though computer, electronic devices, and paper means.
Must be able to maintain prolonged periods of working on a computer while sitting at a desk and attending virtual meetings

Nice To Haves

Experience with EHR software and knowledge of ABA therapy highly preferred.

Responsibilities

Work daily aging reports with a focus on insurance balances greater than 30 days; prioritize claims based on payer, age, and dollar amount.
Conduct thorough follow-up with payers via phone, portals, and written correspondence to resolve outstanding claims.
Investigate claim denials and underpayments by reviewing EOBs/ERAs, payer policies, and contract terms.
Submit appeals and corrected claims within payer deadlines, ensuring compliance with payer-specific requirements.
Document all actions taken in the AR system accurately, including notes from payer calls, resubmissions, and escalation steps.
Escalate recurring payer issues, delays, or system-wide denial patterns to the AR Manager for strategic resolution.
Collaborate with Contracting, Credentialing, Billing, Authorization, and Eligibility teams to resolve front-end claim issues that impact reimbursement.
Identify payer trends related to denials, payment delays, or processing errors, and provide feedback to the Quality Assurance Manager for tracking and process improvement.
Ensure secondary and tertiary claims are billed promptly and payments are applied correctly.
Maintain compliance with HIPAA and organizational policies when handling PHI during payer communications.
Consistently meet productivity and quality standards for claims worked, appeals submitted, and resolutions achieved.