AR Specialist

RethinkFirst•Indianapolis, IN

7d•Remote

About The Position

The Accounts Receivable (AR) Specialist is responsible for supporting our billing teams by working with insurance companies to ensure efficient and prompt reimbursement for therapy sessions for our customers and actively pursuing all outstanding A/R for customers supported within the RCM division.

Requirements

HS Diploma or Equivalent
ABA billing experience
Min. 1-year experience in billing; major commercial insurance companies and state Medicaid programs
Experience using insurance company websites/portals
Proficient in using Microsoft Suite (Outlook, Excel, Word)
Willing to learn, positive attitude and love a good challenge
Professional writing & phone skills
This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies

Nice To Haves

Bachelor’s degree
Speech, OT and Mental Health billing experience
Minimum 1-year experience working in an office setting
Minimum 1-year experience in billing company setting
Experience using Billing Software, EMR and Clearinghouse systems (Rethink, Azalea, Tebra, Central Reach, Waystar, Trizetto, Availity)
Experience using denial management platform (DocVocate)

Responsibilities

Ensure strict HIPAA-compliant confidentiality with all client-related data
Review customer account reports and follow up to ensure any flags/concerns are notated proactively and communicated to the Customer Billing Advocate (CBA)
Review A/R Aging Reports and follow up with insurance companies regarding expected reimbursement for outstanding claims
Notate & document all follow up work on aging claims within A/R Aging Reports as required and documented in standard SOPs
Meet expectations on deadlines for completion of A/R Aging Reports for each customer supported within POD
Follow up on denials immediately and communicate any trends to CBA
Follow up on any open A/R tickets in Salesforce as assigned by CBA
Meet deadlines assigned for A/R work as assigned by CBA
Utilize denial management platforms for submission of appeals, reconsideration requests, etc.
Research specific payor billing rules as needed
Follow up on claims submitted electronically for primary and secondary payors
Submit corrected claims when needed
Attend POD meetings and contribute to agenda items as designated by CBA
Post payments or submit missing payments to posting team and maintain A/R as assigned
File appeals to insurance and to insurance commissioner as needed
Stay informed about Payor and Industry Billing rules
Review & interpret payor contracts when applicable
Measure and monitor key metrics related to work performance
Attend customer meetings as needed with CBA
Work to meet POD goals collectively as cohesive team
Foster a positive work environment for colleagues