Accounts Receivable Specialist jobs in United States
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Action Behavior Centers - ABA Therapy for Autism · 1 week ago

Accounts Receivable Specialist

Action Behavior Centers is a company focused on providing ABA therapy for autism, and they are seeking an Accounts Receivable Specialist to support their financial operations. The role involves managing outstanding medical claims, collaborating with other departments, and ensuring timely reimbursement from insurance carriers.

Health Care
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Growth Opportunities
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H1B Sponsor Likelynote

Responsibilities

Contact insurance carriers daily to follow up on past due amounts on outstanding medical claims by calling carriers, utilizing payer web portals, and working in tandem with your team
Have a working knowledge of In and Out of Network reimbursement processes/methodologies
Investigate and resolve claims that have been submitted to insurance for payment and create detailed follow-up notes that provide summary of actions taken and collection status
Investigate and collect information related to claims denials and determine when it’s appropriate to file reconsiderations and/or appeals needed to contest incorrect insurance determinations
Collaborate daily with other departments within RCM to resolve claims processing issues and work to ensure timely processing and reimbursement of assigned insurance carriers
Work with AR Management to identify and resolve outstanding payer issues and trends as they arise and be able to effectively handle insurance claims specialists with a strategic and systematic approach
Provide high quality customer service to our clients, including but not limited to, calling clients to discuss their insurance coverage, coordination of benefits, lapses in coverage and more
Comply with and maintain integrity of confidential information, security policies, procedures, and PHI

Qualification

Accounts Receivable ManagementRevenue Cycle ManagementMedical BillingExcel ProficiencyClaims Denial ResolutionAnalytical SkillsMedical Terminology KnowledgeCentral Reach ExperienceApplied Behavioral Analysis ExperienceCommunication SkillsInterpersonal SkillsIndependent Work

Required

3+ years of experience working in various medical specialties
Background in third party billing/revenue cycle management
Ability to work independently with minimal supervision and manage multiple priorities in a remote work environment
2+ years of experience managing medical receivables with a track record of success
Strong analytical and mathematical skills with the ability to identify trends and opportunities for process improvement
Ability to communicate clearly and effectively, both written and orally
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community
Experience using Excel; from basic formulas up to compiling ad-hoc reports for global claims projects
Ability to work within multiple systems to locate information needed to support claims research and resolution
High School Diploma required
In-depth knowledge of medical and insurance terminology and guidelines

Preferred

Bachelor's degree in business/management or related area (or equivalent experience in revenue cycle management)
Experience working in Central Reach practice management system
Experience working in Applied Behavioral Analysis

Company

Action Behavior Centers - ABA Therapy for Autism

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At Action Behavior Centers (ABC), we help children diagnosed with autism spectrum disorder (ASD) reach milestone moments.

H1B Sponsorship

Action Behavior Centers - ABA Therapy for Autism has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (2)
2020 (1)

Funding

Current Stage
Late Stage
Total Funding
unknown
2023-06-01Debt Financing
2022-08-17Acquired

Leadership Team

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Hersh Sanghavi
Chief Executive Officer and Board Director
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H
Holly Lambert
Co-Founder
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Company data provided by crunchbase