Billing and Accounts Receivable Specialist

BURNETT THERAPEUTIC SERVICES INC
7h$22 - $26Remote

About The Position

We are seeking a Billing & Accounts Receivable Specialist to lead and oversee all billing and revenue cycle operations across our clinical and administrative teams. This role is responsible for the accuracy, timeliness, and integrity of all billing processes, payer interactions, collections, reporting, and compliance activities. This position owns the end-to-end Accounts Receivable workflow — including claim submission, payment posting, denial management, audit preparation, payer enrollment, rate and code maintenance, and financial reporting — while also serving as a key cross-functional partner to Clinical, Contract Fulfillment (CF), Accounting, and Leadership. The Billing & AR Specialist ensures that services are billed correctly, reimbursements are optimized, payer requirements are met, and that teams have reliable, transparent data to support operational and financial decisions. This role is both strategic and hands-on, requiring strong systems thinking, attention to detail, leadership, and proactive problem-solving.

Requirements

  • High school diploma or GED required; Associate’s or Bachelor’s degree preferred.
  • Reliable internet, personal work computer, and a professional remote work environment.
  • Ability to work 9:00 am – 5:30 pm Pacific Time, with flexibility to work evenings during peak periods.
  • Ability to work consistently within the Pacific Time Zone.
  • 3+ years of experience in medical billing, accounts receivable, or healthcare administration.
  • Strong proficiency in Excel (formulas, pivot tables, data analysis, tracking).
  • Experience with billing systems and EHRs (NPA, SimplePractice, or similar).
  • Strong organizational, analytical, and problem-solving skills.
  • Excellent written and verbal communication skills.
  • Ability to handle sensitive and confidential information with discretion.
  • Proficiency in Microsoft Office and Google Workspace.
  • Ability to manage multiple priorities, deadlines, and stakeholders simultaneously.

Nice To Haves

  • Experience in an ABA or behavioral health setting strongly preferred.

Responsibilities

  • Own and manage all daily, weekly, and monthly billing and AR operations.
  • Oversee full-cycle billing for all payers, including: PHC, SUSD, NVUSD, EL, NBRC, Carelon, Acumen, private pay, co-pay, and co-insurance.
  • Ensure timely and accurate claim submission, payment posting, and reconciliation.
  • Review AR weekly, follow up on outstanding balances, and update deposit and tracking sheets.
  • Monitor, analyze, and resolve claim denials, rejections, and underpayments. Perform charge validation, charge corrections, and ongoing data integrity checks.
  • Update and maintain: Monthly trended hours for Contract Fulfillment and Accounting. Monthly payments and revenue summaries for Accounting.
  • Prepare AR, revenue, and payer performance reports for leadership and CF review prior to billing.
  • Track payer performance, denial trends, and reimbursement timelines.
  • Manage payer relationships and communications.
  • Lead payer enrollment, ERA setup, rate updates, and code configuration in NPA.
  • Maintain accurate funder, rate, and authorization information across systems.
  • Support new funder onboarding and contract implementation.
  • Support contracts with rate validation and operational alignment.
  • Prepare and support insurance audits, internal audits, FSO audits, and charge validations.
  • Own audit preparation processes, documentation, and follow-ups.
  • Ensure compliance with payer, contractual, and regulatory requirements.
  • Lead discharge process review and billing closure.
  • Own and maintain billing workflows across NPA and SimplePractice.
  • Support appointment verification, billing readiness, and system troubleshooting.
  • Identify inefficiencies, risks, or breakdowns in billing workflows and implement improvements.
  • Develop, document, and refine SOPs for billing and AR processes.
  • Serve as the primary billing partner to: Clinical Team Contract Fulfillment Team Accounting Admin and Operations
  • Provide guidance and support to teams regarding billing requirements, documentation, and timing.
  • Support with co-pay and co-insurance billing and follow-ups.
  • Support teams with client billing inquiries, payment plans, and billing education.
  • Handle escalated client and payer billing inquiries professionally and ethically.
  • Communicate with payers and clients regarding pending claims, discrepancies, and resolutions.
  • Maintain a high standard of service, professionalism, and confidentiality.

Benefits

  • 6 paid holidays after one year of employment
  • Accrued Sick time
  • Shadowing opportunities and hands-on mentorship to build confidence
  • Medical, dental, and vision insurance (for employees working 30+ hrs/week)
  • 401(k) retirement plan, for those who have accrued 1000 hours of service within 12 months.
  • Aflac supplemental insurance options (for employees working 30+ hrs/week)
  • LifeCare Employee Assistance Program: includes free confidential counseling, referrals, and wellness resources
  • LifeMart Employee Discount Program: exclusive savings on everyday purchases and services
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