AR/Payment Posting Specialist

Groups Recover Together, Inc. • Remote,

5h • Remote

About The Position

Groups Recover Together is a leading outpatient provider specializing in substance use disorder (SUD) treatment. We are committed to supporting underserved communities hit hardest by the opioid crisis. Since 2014, our local care teams have guided hundreds of thousands of individuals on their path to recovery, helping them reclaim their purpose and dignity through compassionate, collaborative care. Our evidence-based approach combines medication, group therapy, and personalized support, delivered online and in person by local providers. Founded on the belief that recovery extends beyond the traditional office visit, Groups helps members build a foundation for long-term recovery and the fulfilling lives they want and deserve. Groups is changing lives. Join us. The AR/Payment Posting Specialist is responsible for managing all aspects of the claims lifecycle, from claim submission to resolution, including appeals, follow-ups with payers, and denial management. This role is essential in ensuring accurate and timely reimbursement for services rendered by our providers, including support to Payment Poster.

Requirements

• Knowledge of CPT, HCPCS, ICD-10 coding, and payer rules related to behavioral health services.
• Knowledge of insurance plans, policies, and procedures.
• Proficiency in using EHR systems and insurance verification software.
• Understanding of payment reconciliation and basic accounting practices.
• Proficiency in Zoom/Google Meets and other virtual meeting platforms
• Strong organizational and multitasking skills.
• Excellent verbal and written communication skills.
• Detail-oriented with a high level of accuracy.
• Ability to handle sensitive member and payment data in compliance with regulatory standards.
• Ability to use discretion and work independently under general supervision.
• Ability to work as part of a team.
• Ability to understand and adhere to the Professional Code of Conduct.
• High school diploma or equivalent associate's degree or relevant certification preferred. CPC highly advantageous.
• Minimum of 2+ years of experience in following up/resolving outstanding medical claims.
• Access to reliable internet and telephone services, specifically 40M download and 10M upload package or higher as well as a strong WiFi signal from your remote work location.
• Must meet pre-employment requirements and maintain all applicable state and job-related guidelines for background screening.

Responsibilities

• Identify, investigate, and resolve unpaid claims. Utilizing Payor portals to follow up on submitted claims.
• Calling insurance companies when claims are denied. Working with commercial/government payers.
• Researching denials and rejections as well as payor policies.
• Submit claims’ reconsiderations and appeals. Documenting account activity. Managing medical records requests.
• Tracking and trending payor issues.
• Collaborate with Billing, Cash Posting, Contracting and Intake on issues affecting account resolution.
• Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances.
• Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to verify accuracy of patient balances.
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED